[Federal Register Volume 67, Number 88 (Tuesday, May 7, 2002)]
[Notices]
[Pages 30691-30716]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-11217]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program Announcement No. OCS-2002-11]


Request for Applications Under the Office of Community Services' 
Fiscal Year 2002 Community Food and Nutrition Program

AGENCY: Office of Community Services, Administration for Children and 
Families, Department of Health and Human Services.

ACTION: Announcement of availability of funds and request for 
competitive applications under the Office of Community Services' 
Community Food and Nutrition Program (CFNP).

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SUMMARY: The Administration for Children and Families (ACF), Office of 
Community Services (OCS), invites eligible entities to submit 
competitive grant applications for new grants for the Community Food 
and Nutrition Program (CFNP) pursuant to the Secretary's discretionary 
authority under Section 681 of the Community Services Block Grant Act, 
as amended [Sec. 42 USC 9922]. This Program Announcement contains forms 
and instructions for submitting an application. The awarding of grants 
under this Program Announcement is subject to the availability of funds 
for support of these activities.

DATES: To be considered for funding, applications must be postmarked on 
or before July 8, 2002. Applications postmarked after that date will 
not be accepted for consideration. See Part IV of this announcement for 
more information on submitting applications.

FOR FURTHER INFORMATION CONTACT: Catherine Rivers at (202) 401-9354 or 
the OCS Operations Center at 1-800-281-9519 for referral to the 
appropriate contact person in OCS for programmatic questions or send an 
e-mail to: [email protected].
    For a copy of this announcement, contact: OCS Operations Center, 
1815 North Fort Meyer Drive, Suite 300, Arlington, Virginia 22209, 1-
800-281-9519.
    In addition, this announcement is accessible on the OCS website for 
reading or downloading at: http://www.acf.dhhs.gov/programs/ocs/kits1.htm
    If this Program Announcement is not available at these sources, it 
may be obtained by telephoning or writing the office listed under FOR 
FURTHER INFORMATION, Contact.
    The Catalog of Federal Domestic Assistance (CFDA) number for this 
program is 93.571. The title is Community Food and Nutrition Program.

SUPPLEMENTARY INFORMATION: This Program Announcement consists of seven 
parts plus Attachments:

Part I Background Information

A. Legislative Authority
B. Program Purpose
C. Project Goals
D. Definition of Terms

Part II Program Objectives and Requirements

A. Project Requirements
B. Program Priority Areas
C. Eligible Applicants
D. Availability of Funds and Grant Amounts
E. Mobilization of Resources
F. Project and Budget Periods
G. Administrative Costs/Indirect Costs
H. Program Beneficiaries
I. Number of Projects in Application
J. Multiple Submittal
K. Sub-Contracting or Delegating Projects

Part III The Project Description, Program Proposal Elements and Review 
Criteria

A. Purpose
B. Project Summary Abstract
C. Objectives and Need for Assistance
D. Results or Benefits Expected
E. Approach
F. Organizational Profiles
G. Budget and Budget Justification
H. Non-Federal Resources

[[Page 30692]]

I. Evaluation Criteria

Part IV Application Procedures

A. Application Development/Availability of Forms
B. Application Submission
C. Intergovernmental Review
D. Initial OCS Screening
E. Consideration of Applications

Part V Instructions for Completing Forms SF-424

A. SF-424--Application for Federal Assistance
B. SF-424A--Budget Information--Non-Construction Programs
C. SF-424B--Assurances--Non-Construction Programs

Part VI Contents of Application and Receipt Process

A. Contents of Application
B. Application Format
C. Acknowledgment of Receipt

Part VII Post Award Information and Reporting Requirements

A. Notification of Grant Award
B. Reporting Requirements
C. Audit Requirements
D. Prohibitions and Requirements with Regard to Lobbying
E. Applicable Federal Regulations

Paperwork Reduction Act of 1995

    Public reporting burden for this collection of information is 
estimated to average 10 hours per response, including the time for 
reviewing instructions, gathering and maintaining the data needed and 
reviewing the collected information.
    The project description is approved under OMB control number 0970-
0139 which expires 12/31/2003.
    An agency may not conduct or sponsor, and a person is not required 
to respond to, a collection of information unless it displays a 
currently valid OMB control number.

Part I. Background Information

A. Legislative Authority

    The Community Services Block Grant Act, as amended, authorizes the 
Secretary of Health and Human Services to make funds available under 
several programs to support program activities which will result in 
direct benefits targeted to low-income people. This Program 
Announcement covers the grant authority found at Section 681 of the 
Community Services Block Grant Act, (The Act) (Pub. L. 97-35) as 
amended by the Community Opportunities, Accountability, and Training 
and Educational Services Act of 1998 (Pub. L. 105-285), Community Food 
and Nutrition Programs. The Act authorizes the Secretary to award 
grants on a competitive basis to eligible entities for community-based, 
local and statewide and national programs including programs 
benefitting Indians (as defined in 42 U.S.C. 9911) and migrant farm 
workers. Grant funds are provided to: (1) coordinate private and public 
food assistance resources, wherever the grant recipient involved 
determines such coordination to be inadequate, to better serve low-
income populations; (2) to assist low-income communities to identify 
potential sponsors of child nutrition programs and to initiate such 
programs in underserved or unserved areas; and (3) to develop 
innovative approaches at the State and local level to meet the 
nutrition needs of low-income individuals.

B. Purpose of Community Food and Nutrition Program

    The Department of Health and Human Services (DHHS) is committed to 
improving the overall health and nutritional well-being of all 
individuals, including low-income persons, through improved preventive 
health care and promotion of personal responsibility.
    DHHS also recognizes that improving the health and nutrition status 
of low-income persons can also be improved by access to healthy, 
nutritious foods or by other means. The DHHS encourages community 
efforts to improve the coordination and integration of health and 
social services for all low-income families, and to identify 
opportunities for collaborating with other programs and services for 
this population. Such collaboration can increase a community's capacity 
to leverage resources and promote an integrated approach to health and 
nutrition through existing programs and services.

C. Project Goals

    The goals of the Community Food and Nutrition Program are: (1) to 
coordinate private and public food assistance resources, wherever the 
grant recipient involved determines such coordination to be inadequate, 
to better serve the food and nutrition needs of low-income populations; 
(2) to assist low-income communities to identify potential sponsors of 
child nutrition programs and to initiate such programs in underserved 
or unserved areas; and (3) to develop innovative approaches at the 
State and local level to meet the nutrition needs of low-income 
individuals, including displaced workers, elderly people, children, and 
the working poor and other low-income individuals.

D. Definition of Terms

    For purposes of this Program Announcement, the following 
definitions apply:
    Budget period: The interval of time into which a grant period of 
assistance (project period) is divided for budgetary and funding 
purposes.
    Displaced worker: An individual who is in the labor market but has 
been unemployed for six months or longer.
    Eligible entity: State and local governments, as well as Indian 
tribes, and public and private nonprofit agencies/organizations 
including Community Action Agencies. (See Part II). Faith-based 
organizations are eligible to apply for these grants.
    Empowerment Zones and Enterprise Communities: Those communities 
designated as such by the Secretary of Agriculture or the Secretary of 
Housing and Urban Development.
    Indian tribe: A tribe, band, or other organized group of Native 
American Indians recognized in the State or States in which it resides 
or considered by the Secretary of the Interior to be an Indian tribe or 
an Indian organization for any purpose.
    Innovative project: One that departs from, or significantly 
modifies, past program practices and tests a new approach.
    Migrant farmworker: An individual who works in agricultural 
employment of a seasonal or other temporary nature who is required to 
be absent from his/her place of permanent residence in order to secure 
such employment.
    Program income: Gross income earned by the grant recipient that is 
directly generated by an activity supported with grant funds.
    Project period: The total time for which a project is approved for 
support, including any approved extensions.
    Seasonal farmworker: Any individual employed in agricultural work 
of a seasonal or other temporary nature who is able to remain at his/
her place of permanent residence while employed.
    Self-sufficiency: A condition where an individual or family does 
not need, and is not eligible to receive, TANF assistance under Title I 
of the Personal Responsibility and Work Opportunity Reconciliation Act 
of 1996 (Part A of Title IV of the Social Security Act).
    Underserved area (as it pertains to child nutrition programs): A 
locality in which less than one-half of the low-income children 
eligible for assistance participate in any child nutrition program.

[[Page 30693]]

Part II. Program Objectives and Requirements

    The OCS invites qualified entities to submit competing grant 
applications for Community Food and Nutrition Projects that will 
establish, support, and/or manage food and nutrition services for low-
income people. The main objective of the CFNP is to link low-income 
people to food and nutrition programs.

A. Project Requirements

    Focus on one or more legislatively-mandated program activities: (a) 
coordination of private and public food assistance resources, wherever 
the grant recipient involved determines such coordination to be 
inadequate, to better serve low-income populations; (b) assistance to 
low-income communities in identifying potential sponsors of child 
nutrition programs and initiating such programs in unserved or 
underserved areas; and (c) development of innovative approaches at the 
state and local level to meet the nutrition needs of low-income 
individuals.
    Additionally, in carrying out such activities, projects funded 
under this program should: (1) Be designed and intended to provide 
nutrition benefits, including those which incorporate the benefits of 
disease prevention, to a targeted low-income group of people; (2) 
Provide outreach and public education to inform eligible low-income 
individuals and families of other nutritional services available to 
them under the various Federally-assisted programs; (3) Carry out 
targeted communications and social marketing to improve dietary 
behavior and increase program participation among eligible low-income 
populations. Populations to be targeted can include displaced workers, 
elderly people, children, and the working poor, and (4) Consult with 
and/or inform local offices that administer other food programs such as 
W.I.C. and Food Stamps, where applicable, to ensure effective 
coordination which can jointly target services to increase their 
effectiveness. Such consultation may include involving these offices in 
planning grant applications.
    The OCS views this program as a capacity building program, rather 
than a service delivery program.

B. Program Priority Areas

    There are two Program Priority Areas under this program for Fiscal 
Year 2002: Priority Area 1.0, General Projects, under which OCS will 
accept applications as described below, and Priority Area 2.0, 
Nationwide Programs, will be covered under a separate Program 
Announcement as described below.
1. General Projects--Priority Area 1.0
    The application should describe the target area and population to 
be served and discuss the nature and extent of the problem to be 
solved. The application must contain a detailed and specific work 
program that is sound and feasible. Projects funded under this 
Announcement must produce lasting and measurable results that fulfill 
the purposes of this program as described above. The OCS grant funds, 
in combination with private and/or other public resources, must be 
targeted to low-income individuals and communities.
    Applicants will certify in their submission that projects will only 
serve the low-income population as stipulated in the DHHS Poverty 
Income Guidelines (Attachment A). Failure to certify that only 
beneficiaries that meet the DHHS Poverty Income Guidelines may result 
in the application not being considered for funding.
    If an applicant proposes a project which will affect a property 
listed in, or eligible for, inclusion in the National Register of 
Historic Places, it must identify this property in the narrative and 
explain how it has complied with the provisions of Section 106 of the 
National Historic Preservation Act of 1966, as amended. If there is any 
question as to whether the property is listed in, or is eligible for 
inclusion in, the National Register of Historic Places, applicant 
should consult with the State Historic Preservation Officer. The 
applicant should contact OCS early in the development of its 
application for instructions regarding compliance with the Act and data 
required to be submitted to DHHS.
    When projects proposed to mobilize or improve the coordination of 
existing public and private food assistance resources, the guidelines 
governing those resources apply. However, when projects propose to 
provide direct assistance to beneficiaries through grants funded under 
this program, those beneficiaries must fall within the official DHHS 
Poverty Income Guidelines as set forth in Attachment A.
    Applications proposing the use of grant funds to develop printed or 
visual materials must contain convincing evidence that these materials 
are not available from other sources. The OCS will not provide funding 
for such items if justification is not sufficient. Approval of any 
films or visual presentations proposed by applicants approved for 
funding will be made part of the grant award. When material outlays for 
equipment (audio and visual) are requested, specific evidence must be 
presented that there is a definite programmatic connection between the 
equipment (audio and visual) usage and the outreach requirements 
described in Part II of this Announcement.
2. Nationwide Program--Priority Area 2.0
    Under a separate Program Announcement, ACF/OCS will invite eligible 
applicants to compete for a grant to administer, through a Cooperative 
Agreement, the CFNP Nationwide Program. The ACF will make available 
approximately $300,000 to support the project for the first year. It is 
expected that this will be a three-year project.
    For further information or to obtain a copy of the CFNP Nationwide 
Program Announcement, contact the office listed in this Announcement 
under FOR FURTHER INFORMATION, CONTACT.

C. Eligible Applicants

    Eligible applicants are State and local governments, Indian tribes, 
and public and private nonprofit agencies/organizations with a 
demonstrated ability to successfully develop and implement programs and 
activities similar to those enumerated above. The OCS encourages 
Historically Black Colleges and Universities, minority institutions and 
faith-based organizations to submit applications. Eligible applicants 
with programs benefitting Native Americans and migrant or seasonal 
farmworkers are also encouraged to submit applications.
    Any nonprofit organization, including faith-based organizations, 
are eligible to apply for these funds. In submitting an application, 
each organization must submit proof of its nonprofit status at the time 
of submission. The nonprofit agency can accomplish this by providing a 
copy of either the applicant's listing in the Internal Revenue 
Service's (IRS) most recent list of tax-exempt organizations, a copy of 
the currently valid IRS tax exemption certificate, or a copy of the 
applicant's Articles of Incorporation bearing the seal of the State in 
which the corporation or association is domiciled.

D. Availability of Funds and Grant Amounts

1. Fiscal Year 2002 Funding
    The funds available for grant awards under the Community Food and 
Nutrition Program (CFNP) in Fiscal Year 2002 are: General Projects--
Priority Area 1.0: *$2,400,000.

[[Page 30694]]

    All grant awards are subject to the availability of appropriated 
funds.
2. Grant Amounts
    No individual grant application will be considered for an amount in 
excess of $50,000 for applications submitted under General Projects.

E. Mobilization of Resources

    The OCS would like to mobilize as many resources as possible to 
enhance projects funded under the CFNP. The OCS supports and encourages 
applications submitted by applicants whose programs will leverage other 
resources, either cash or third party in-kind.

F. Project Periods and Budget Periods

    For most projects, OCS will grant funds for one year. However, in 
rare instances, depending on the characteristics of any individual 
project and the justification presented in the application, a grant may 
be made for a project period of up to 17 months.

G. Administrative Costs/Indirect Costs

    There is no predetermined administrative cost ceiling for projects 
funded under this program. Indirect costs consistent with approved 
indirect cost rate agreements are allowable. Applicants should enclose 
a copy of the current approved rate agreement. However, it should be 
understood that indirect costs are part of, and not in addition to, the 
amount of funds awarded in the subject grant.

H. Program Beneficiaries

    Projects proposed for funding under this Announcement must result 
in direct benefits targeted toward low-income people as defined in the 
most recent annual update of the Poverty Income Guidelines published by 
DHHS. Attachment A to this Announcement is an excerpt from the most 
recently published guidelines. Annual revisions of these guidelines are 
normally published in the Federal Register in February or early March 
of each year and are applicable to projects being implemented at the 
time of publication. Grantees will be required to apply the most recent 
guidelines throughout the project period. The Federal Register may be 
obtained from public libraries, Congressional offices, or by writing 
the Superintendent of Documents, U.S. Government Printing Office, 
Washington, D.C. 20402. The Federal Register is also available on the 
Internet through GPO Access at the following web address: http://www.access.gpo.gov/su_docs/aces/aces140.html.
    No other government agency or privately defined poverty guidelines 
are applicable to determining low-income eligibility for this OCS 
program.

I. Number of Projects in Application

    An application may contain only one proposed project and this 
project must address the basic criteria found in Parts II and III of 
this Program Announcement. Applications not complying with these 
requirements will not be funded.

J. Multiple Submittal

    There is no limit to the number of applications that can be 
submitted by an eligible applicant as long as each application is for a 
different project. However, no applicant will receive more than one 
grant.

K. Sub-Contracting or Delegating Projects

    The OCS will not fund any project where the role of the eligible 
applicant is primarily to serve as a conduit for funds to other 
organizations.

Part III. The Project Description, Program Proposal Elements and 
Review Criteria

A. Purpose

    The project description provides the major means by which an 
application is evaluated and ranked to compete with other applications 
for available assistance. The project description should be concise, 
complete and should address the activity for which Federal funds are 
being requested. Supporting documents should be included where they can 
present information clearly and succinctly. Applicants are encouraged 
to provide information on their organizational structure, staff, 
related experience, and other information. Awarding offices use this 
and other information to determine whether the applicant has the 
capability and resources necessary to carry out the proposed project. 
It is important, therefore, that this information be included in the 
application. However, in the narrative the applicant must distinguish 
resources directly related to the proposed project and those that will 
not be used in support of the specific project for which funds are 
requested.

B. Project Summary/Abstract

    Provide a summary of the project description (one page or less) 
with reference to the funding request.

C. Objectives and Need for Assistance

    Clearly identify the physical, economic, social, financial, 
instructional, and/or other problem(s) requiring a solution. The need 
for assistance must be demonstrated and the principal and subordinate 
objectives of the project must be clearly stated; supporting 
documentation, such as letters of support and testimonials from 
concerned interests other than the applicant, may be included. Any 
relevant data based on planning studies should be included or referred 
to in the endnotes/footnotes. Incorporate demographic data and 
participant/beneficiary information, as needed. In developing the 
project description, the applicant may volunteer or be requested to 
provide information on the total range of projects currently being 
conducted and supported (or to be initiated), some of which may be 
outside the scope of the program announcement.

D. Results or Benefits Expected

    Identify the results and benefits to be derived. For example, 
describe the population to be served by the Community Food and 
Nutrition Program, including how many low-income people are projected 
to be served. Explain the ways in which the project will be used to 
reach your client base and will benefit participants, including whether 
it may aid some participants in moving towards self-sufficiency.

E. Approach

    Outline a plan of action which describes the scope and detail of 
how the proposed work will be accomplished. Account for all functions 
or activities identified in the application. Cite factors which might 
accelerate or decelerate the work and state the reason for taking the 
proposed approach rather than others. Describe any unusual features of 
the project such as design or technological innovations, reductions in 
cost or time, or extraordinary social and community involvement.
    Provide quantitative monthly or quarterly projections of the 
accomplishments to be achieved for each function or activity in such 
terms as the number of people served. When accomplishments cannot be 
quantified by activity or function, list them in chronological order to 
show the schedule of accomplishments and their target dates.
    Indicate whether data will be collected, maintained, and/or 
disseminated. Note that clearance may be required from the U.S. Office 
of Management and Budget (OMB) in order to conduct such activities. 
This requirement pertains to any ``collection

[[Page 30695]]

of information that is conducted or sponsored by ACF''.
    The OCS is also interested in projects that address the needs of 
homeless families and welcomes applications that seek to develop 
innovative approaches to promote health and nutritional awareness among 
low-income populations.
    List organizations, cooperating entities, consultants, or other key 
individuals who will work on the project along with a short description 
of the nature of their effort or contribution.

F. Organization Profiles

    Provide information on the applicant organization(s) and 
cooperating partners such as organizational charts, financial 
statements, audit reports or statements from CPAs/Licensed Public 
Accountants, Employer Identification Numbers, names of bond carriers, 
contact persons and telephone numbers, child care licenses and other 
documentation of professional accreditation, information on compliance 
with Federal/State/local government standards, documentation of 
experience in the program area, and other pertinent information. Any 
non-profit organization submitting an application must submit proof of 
its non-profit status in its application at the time of submission. The 
non-profit agency can accomplish this by providing a copy of either the 
applicant's listing in the Internal Revenue Service's (IRS) most recent 
list of tax-exempt organizations, or the currently valid IRS tax 
exemption certificate, or, the articles of incorporation bearing the 
seal of the State in which the corporation or association is domiciled.

G. Budget and Budget Justification

    Provide a line item detail and detailed calculations for each 
budget object class identified on the Budget Information form. Detailed 
calculations must include estimation methods, quantities, unit costs, 
and other similar quantitative detail sufficient for the calculation to 
be duplicated. The detailed budget must also include a breakout by the 
funding sources identified in Block 15 of the SF-424.
    Provide a narrative budget justification that describes how 
categorical costs are derived. Discuss the necessity, reasonableness, 
and allocability of the proposed costs.
    The following guidelines are for preparing the budget and budget 
justification. Both Federal and non-Federal resources shall be detailed 
and justified in the budget and narrative justification. For purposes 
of preparing the budget and budget justification, ``Federal resources'' 
refers only to the ACF grant for which you are applying. Non-Federal 
resources are all other Federal and non-Federal resources. It is 
suggested that budget amounts and computations be presented in a 
columnar format: first column, object class categories; second column, 
Federal budget; next column(s), non-Federal budget(s), and last column, 
total budget.
Personnel
    Description: Costs of employee salaries and wages.
    Justification: Identify the project director or principal 
investigator, if known. For each staff person, provide the title, time 
commitment to the project (in months), time commitment to the project 
(as a percentage or full-time equivalent), annual salary, grant salary, 
wage rates, etc. Do not include the costs of consultants or personnel 
costs of delegate agencies or of specific project(s) or businesses to 
be financed by the applicant.
Fringe Benefits
    Description: Costs of employee fringe benefits, unless treated as 
part of an approved indirect cost rate.
    Justification: Provide a breakdown of the amounts and percentages 
that comprise fringe benefit costs such as health insurance, FICA, 
retirement insurance, taxes, etc.
Travel
    Description: Costs of project-related travel by employees of the 
applicant organization (does not include costs of consultant travel).
    Justification: For each trip, show the total number of traveler(s), 
travel destination, duration of trip, per diem, mileage allowances, if 
privately owned vehicles will be used, and other transportation costs 
and subsistence allowances.
Equipment
    Description: ``Equipment'' means an article of non-expendable, 
tangible personal property having a useful life of more than one year 
and an acquisition cost which equals or exceeds the lesser of (a) the 
capitalization level established by the organization for the financial 
statement purposes, or (b) $5,000. (Note: Acquisition cost means the 
net invoice unit price of an item of equipment, including the cost of 
any modifications, attachments, accessories, or auxiliary apparatus 
necessary to make it usable for the purpose for which it is acquired. 
Ancillary charges, such as taxes, duty, protective in-transit 
insurance, freight, and installation shall be included in, or excluded 
from, acquisition cost in accordance with the organization's regular 
written accounting practices.)
    Justification: For each type of equipment requested, provide a 
description of the equipment, the cost per unit, the number of units, 
the total cost, and a plan for use on the project, as well as use or 
disposal of the equipment after the project ends. An applicant 
organization whose definition of equipment differs from ACF's 
definition of equipment as described above should provide a copy of its 
policy or section of its policy which includes the equipment 
definition.
Supplies
    Description: Costs of all tangible personal property other than 
that included under Equipment.
    Justification: Specify general categories of supplies and their 
costs. Show computations and provide other information which supports 
the amount requested.
Contractual
    Description: Costs of all contracts for services and goods except 
for those which belong under other categories such as equipment, 
supplies, construction, etc. Third-party evaluation contracts (if 
applicable) and contracts with secondary recipient organizations, 
including delegate agencies and specific project(s) or businesses to be 
financed by the applicant, should be included under this category.
    Justification: All procurement transactions shall be conducted in a 
manner to provide, to the maximum extent practical, open and free 
competition. Recipients and subrecipients, other than States that are 
required to use Part 92 procedures, must justify any anticipated 
procurement action that is expected to be awarded without competition 
and exceed the simplified acquisition threshold fixed at 41 USC 403(11) 
(currently set at $100,000.) Recipients might be required to make 
available to ACF pre-award review and procurement documents, such as 
request for proposals or invitations for bids, independent cost 
estimates, etc.

    Note: Whenever the applicant intends to delegate part of the 
project to another agency, the applicant must provide a detailed 
budget and budget narrative for each delegate agency, by agency 
title, along with the required supporting information referred to in 
these instructions.

Other
    Enter the total of all other costs. Such costs, where applicable 
and appropriate, may include but are not limited to

[[Page 30696]]

insurance, food, medical and dental costs (noncontractual), 
professional services costs, space and equipment rentals, printing and 
publication, computer use, training costs such as tuition and stipends, 
staff development costs, and administrative costs.
    Justification: Provide computations, a narrative description and a 
justification for each cost under this category.

H. Non-Federal Resources

    Amounts of non-Federal resources that will be used to support the 
project as identified in Block 15 of the SF-424. The firm commitment of 
these resources must be documented and submitted with the application 
in order to be given credit in the review process. A detailed budget 
must be prepared for each funding source.

I. Evaluation Criteria

Proposal Elements and Review Criteria for Applications
    Each application which passes the initial screening described in 
Part IV, Section D of this Program Announcement will be assessed and 
scored by three independent reviewers. Each reviewer will give a 
numerical score for each application. These numerical scores will be 
supported by explanatory statements on a formal rating form describing 
major strengths and weaknesses under each applicable criterion 
published in the Announcement. Scoring will be based on a total of 100 
points, and for each application will be the average of the scores of 
the three reviewers.
    The competitive review of proposals will be based on the degree to 
which applicants:
    (1) adhere to the requirements in PART II and (2) incorporate each 
of the Elements and Sub-Elements below into their proposals, so as to 
describe convincingly a project that will develop new food and 
nutrition services/activities to benefit low-income households 
including displaced workers, elderly people, children, and the working 
poor.
    In order to simplify the application preparation and review 
process, OCS seeks to keep grant proposals cogent and brief. 
Applications with project narratives (excluding Project Summaries, 
Budget Justifications and Appendices) exceeding 30 letter-sized pages 
of 12 c.p.i. type or equivalent on a single side will not be reviewed. 
Applicants should prepare and assemble their project descriptions using 
the following outline of required project elements. They should, 
furthermore, build their project concept, plans, and application 
description upon the guidelines set forth for each of the project 
elements.
    Project descriptions are evaluated on the basis of substance, not 
length. Pages should be numbered consecutively and a table of contents 
should be included for easy reference. Applicants are reminded that the 
overall Project Narrative must not exceed 30 pages.
    When writing their Project Narratives, applicants should respond to 
the review criteria using the same sequential order.
    Criteria for Review and Evaluation of Applications Submitted Under 
This Program Announcement: (Note: The review criteria both reiterate 
and explain in greater detail the information requirements contained in 
Part II of this Announcement.)

Evaluation Criterion 1: Objectives and Need for Assistance

Element I.  Description of Target Population and Analysis of Needs/
Priorities (0 to 10 Points)

Sub-Element I(a) Description of Target Population. (0 to 4 Points)

    In addressing this criterion, the applicant should describe the 
target area and population to be served, including specific details on 
any minority population(s) to be served.

Sub-Element I(b) Analysis of Needs/Priorities (0 to 6 Points)

    In addressing the above criterion, the applicant should discuss the 
nature and extent of the problem(s) and/or need(s), including specific 
information on minority populations(s).

Evaluation Criterion 2: Approach I

Element II. Adequacy of Work Program (0 to 25 Points)

Sub-Element II(a). Realistic Quarterly Time Lines (0 to 10 Points)

    Applicant should provide realistic quarterly projections of the 
activities to be carried out including the projected number of 
beneficiaries to be served each quarter.

Sub-Element II(b). Detailed Work Plan (0-15)

    Applicant must insure that activities are adequately described and 
appear reasonably likely to achieve results which will have a desired 
impact on the identified problems and/or needs.
    In addressing this criterion, the applicant should address the 
basic criteria and other mandated activities found in Part II and 
should include:
    (1) Project priorities, and rationale for selecting them, which 
relate to the specific nutritional problem(s) and/or need(s) of the 
target population identified under Criterion I;
    (2) Goals and objectives that speak to the(se) problem(s) and/or 
need(s); and
    (3) Project activities that, if successfully carried out, can 
reasonably be expected to result in achieving these goals and 
objectives.

Evaluation Criterion 3: Results or Benefits Expected

Element III. Significant and Beneficial Impact (0-30 Points)

Sub-Element III(a) Improvement in Nutrition Services to Low-Income 
People (0 to 15 Points)

    Applicants shall address how they propose to significantly improve 
or increase nutrition services to low-income people and indicate how 
such improvements or increases are quantified.

Sub-Element III(b) Promotional Health and Social Service Activities 
Included in Nutrition Services (0 to 5 Points)

    Applicant incorporates into the project awareness of health and 
social services activities for low-income people along with nutritional 
services.

Sub-Element III(c) Commitment of Resources (0 to 5 Points)

    Applicant indicates that the project will significantly leverage or 
mobilize other community resources. These resources are detailed and 
quantified.

Sub-Element III(d) One Time Funding (0 to 5 Points)

    Applicant demonstrates either that the project addresses problem(s) 
that can be resolved by one-time OCS funding, or demonstrates that non-
Federal funding is available to continue the project without Federal 
support.
    In addressing the above criterion, the applicant must include 
quantitative data for items (a),(b), and (c), and discuss how the 
beneficial impact relates to the relevant legislatively-mandated 
program activities identified in Part II and the problems and/or needs 
described under Criterion I.

Evaluation Criterion 4:  Approach II

Element IV.  Coordination/Services Integration (0 to 15 Points)

Sub-Element IV (a) Coordinated Community-Based Planning (0 to 10 
Points)

    Application demonstrates evidence of coordinated community-based 
planning in its development, including strategies in the work program 
to collaborate with other locally-funded Federal programs (such as DHHS 
health and social

[[Page 30697]]

services and USDA Food and Consumer Service programs) in ways that will 
eliminate duplication and will, for example: (1) unite funding streams 
at the local level to increase program outreach and effectiveness; (2) 
facilitate access to other needed social services by coordinating and 
simplifying intake and eligibility certification processes for clients; 
or (3) bring project participants into direct interaction with holistic 
family development resources in the community where needed.

Sub-Element IV (b) Community Empowerment Consideration (0 to 5 Points)

    Special consideration will be given to applicants located in areas 
characterized by poverty and other indicators of socio-economic 
distress such as a poverty rate of at least 20 percent, designation as 
an Empowerment Zone or Enterprise Community, high levels of 
unemployment, and high levels of incidences of violence, gang activity, 
crime, or drug use. Applicants should document their involvement in 
preparing and planned implementation of a comprehensive community-based 
strategic plan to achieve both economic and human development in an 
integrated manner.
    If the applicant is receiving funds from the State for community 
food and nutrition activities, the applicant should address how the 
funds are being utilized, and how they will be coordinated with the 
proposed project to maximize the effectiveness of both. If State funds 
are being used in the project for which OCS funds are being requested, 
their usage should be specifically described.

Evaluation Criterion 5:  Organizational Profiles

Element V. Organizational Experience and Administrative Capability (0 
to 15 Points)

Sub-Element V(a).  Organizational Experience in Program Area (0-5 
Points)

    The applicant should document the organization's capability and 
relevant experience in developing and operating programs which deal 
with poverty problems similar to those to be addressed by the proposed 
project. Documentation provided should indicate that projects 
previously undertaken have been relevant and effective and have 
provided permanent benefits to the low-income population. Organizations 
proposing training and technical assistance should have detailed 
competence in the program area and expertise in training and technical 
assistance. If applicable, information provided by these applicants 
also addresses related achievements and competence of each cooperating 
or sponsoring organization.

Sub-Element V(b). Management History (0-5 Points)

    Applicants must demonstrate their ability to implement sound and 
effective management practices. If they have been recipients of other 
Federal or other governmental grants, they must also document their 
compliance with financial and program progress reporting and audit 
requirements. Such documentation may be in the form of references to 
any available audit or progress reports and should be accompanied by a 
statement from a Certified or Licensed Public Accountant as to the 
sufficiency of the applicant's financial management system to protect 
adequately any Federal funds awarded under the application submitted.

Sub-Element V(c). Staff Skills, Resources and Responsibilities (0-5 
Points)

    The application should adequately describe the experience and 
skills of the proposed Project Director, showing that the individual is 
not only well qualified, but that his/her professional capabilities are 
relevant to successfully implement the project. If the key staff person 
has not yet been identified, the application contains a comprehensive 
position description indicating that the responsibilities to be 
assigned to the project director are relevant to successfully implement 
the project. The application must indicate that the applicant has 
adequate facilities and resources (i.e. space and equipment) to carry 
out the work plan successfully.
    In addressing the above criterion, the applicant must clearly show 
that sufficient time of the Project Director and other senior staff 
will be budgeted to assure timely project implementation and oversight 
and that the assigned responsibilities of the staff are appropriate to 
the tasks identified.

Evaluation Criterion 6:  Budget and Budget Justification

Element VI. Appropriateness of Budget (0 to 5 Points)

    Every application must include a Budget Justification, placed after 
the budget forms SF 424 and 424A, explaining the sources and uses of 
project funds. The budget is adequate and administrative costs are 
appropriate to the services proposed.

Part IV.  Application Procedures

A. Application Development/Availability of Forms

    To be considered for a grant under this program announcement, an 
application must conform to the Program Requirements set out in Part II 
and be prepared in accordance with the guidelines set out in Part III. 
It must be submitted on the forms supplied in the attachments to this 
Announcement and in the manner prescribed below. Attachments A through 
K contain all standard forms necessary to apply for awards under this 
OCS program. These attachments and Parts V and VI of this Announcement 
contain all the general instructions required for submitting 
applications.
    Additional copies may be obtained by writing or telephoning the 
office listed under the section entitled FOR FURTHER INFORMATION 
CONTACT: at the beginning of this announcement. In addition, this 
Announcement is accessible on the Internet through the OCS Website for 
reading or downloading at: http://www.acf.dhhs.gov/programs/ocs/kits1.htm under ``Funding Opportunities.''
    The applicant must be aware that in signing and submitting the 
application for this award, it is certifying that it will comply with 
the Federal requirements concerning the drug-free workplace, the 
Certification Regarding environmental tobacco smoke, and debarment 
regulations set forth in Attachments E, J, and F.
    PART III contains instructions for the substance and development of 
the project narrative. PART V contains instructions for completing 
application forms. PART VI, Section A, describes the contents and 
format of the application as a whole.

B. Application Submission

    1. Number of Copies Required. One signed original application and 
two copies must be submitted at the time of initial submission. (OMB 
0970-0139). Two additional optional copies would be appreciated to 
facilitate the processing of applications.
    2. Closing Date. The closing date for submitting applications is 
July 8, 2002. Applications postmarked after the closing date will be 
classified as late.
    Hand delivered applications are accepted during the normal working 
hours of 8:00 a.m. to 4:30 p.m. EST at the Community Food and Nutrition 
Program Operations Center: 1815 North Fort Myer Drive, Suite 300, 
Arlington, VA 22209 between Monday and Friday (excluding Federal 
holidays). (Applicants are cautioned that express/

[[Page 30698]]

overnight mail services do not always deliver as agreed.)
    Mailing Address: Applications must be mailed to Community Food and 
Nutrition Program Operations Center, 1815 North Fort Myer Drive, Suite 
300, Arlington, VA 22209; Attention: Application for Community Food and 
Nutrition Program.
    Applicants must ensure that a legibly dated U.S. Postal Service 
postmark, or a legibly dated machine produced postmark of a commercial 
mail service, or an official dated receipt of an overnight/express 
delivery service, is affixed to the envelope/package containing the 
application(s). To be acceptable as proof of timely mailing, a postmark 
from a commercial mail service or receipt from an overnight/express 
delivery service company must include the logo/emblem of the company 
and must reflect the date the package was received by the company from 
the applicant. Private Metered postmarks shall not be acceptable as 
proof of timely mailing.
    ACF cannot accommodate transmission of applications by fax or 
through other electronic media. Therefore, applications transmitted to 
ACF electronically will not be accepted regardless of date or time of 
submission and time of receipt.
    3. Late Applications. Applications which do not meet the criteria 
above are considered late applications. ACF shall notify each late 
applicant that its application will not be considered in the current 
competition.
    4. Extension of Deadlines. ACF may extend an application deadline 
for applicants affected by acts of God such as floods and hurricanes, 
or when there is widespread disruption of the mails. A determination to 
waive or extend deadline requirements rest with ACF's Chief Grants 
Management Officer.

C. Intergovernmental Review

    This program is covered under Executive Order 12372, 
``Intergovernmental Review of Federal Programs,'' and 45 CFR Part 100, 
``Intergovernmental Review of Department of Health and Human Services 
Program and Activities.'' Under the Order, States may design their own 
processes for reviewing and commenting on proposed Federal assistance 
under covered programs.
    All States and Territories except Alabama, Alaska, Arizona, 
Colorado, Connecticut, Hawaii, Idaho, Indiana, Kansas, Louisiana, 
Massachusetts, Minnesota, Montana, Nebraska, New Jersey, New York, 
Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Vermont, 
Virginia, Washington, Wyoming, and Palau have elected to participate in 
the Executive Order process and have established Single Points of 
Contact (SPOCs). Applicants from these twenty-seven jurisdictions need 
take no action regarding E.O. 12372. Applicants for projects to be 
administered by Federally-recognized Indian Tribes are also exempt from 
the requirements of E.O. 12372. Otherwise, applicants should contact 
their SPOCs as soon as possible to alert them of the prospective 
applications and receive any necessary instructions. Applicants must 
submit any required material to the SPOCs as soon as possible so that 
the program office can obtain and review SPOC comments as part of the 
award process. It is imperative that the applicant submit all required 
materials, if any, to the SPOC and indicate the date of this submittal 
(or indicate ``not applicable'' if no submittal is required) on the 
Standard Form 424, item 16a.
    Under 45 CFR 100.8(a)(2), a SPOC has 60 days from the application 
deadline to comment on proposed new or competing continuation awards.
    SPOCs are encouraged to eliminate the submission of routine 
endorsements as official recommendations.
    Additionally, SPOCs are requested to clearly differentiate between 
mere advisory comments and those official State process recommendations 
which may trigger the ``accommodate or explain'' rule.
    When comments are submitted directly to ACF, they should be 
addressed to: Department of Health and Human Services, Administration 
for Children and Families, Office of Grants Management/OCSE, 370 
L'Enfant Promenade, S.W., 4th floor East, Washington, D.C. 20447.
    A list of the Single Points of Contact for each State and Territory 
is included as Attachment G to this Announcement.

D. Initial OCS Screening

    Each application submitted under this program announcement will 
undergo a pre-review to determine that the application was postmarked 
by the closing date and submitted in accordance with the instructions 
in this Announcement.
    All applications that meet the published deadline requirements as 
provided in this Program Announcement will be screened for completeness 
and conformity with the following requirements. Only complete 
applications that meet the requirements listed below will be reviewed 
and evaluated competitively. Other applications will be returned to the 
applicants with a notation that they were unacceptable and will not be 
reviewed.
    The following requirements must be met by all Applicants except as 
noted:
    (1) The application must contain a signed Standard Form 424 
Application for Federal Assistance'' (SF-424), Attachment B, a budget 
(SF-424A), Attachment C, and signed ``Assurances'' (SF 424B), 
Attachment D, completed according to instructions published in Part V 
and Attachments A, B, and C of this Program Announcement. The SF-424 
and the SF-424B must be signed by an official of the organization 
applying for the grant who has authority to obligate the organization 
legally. Applicant must also be aware that the applicant's legal name 
as required on the SF-424 (Item 5) must match that listed as 
corresponding to the Employer Identification Number (Item 6).
    (2) A project narrative must also accompany the standard forms. OCS 
requires that the narrative portion of the application be no more than 
30 letter-size pages, numbered consecutively , and typewritten on one 
side of the paper only with one-inch margins and type face no smaller 
than 12 characters per inch (c.p.i.) or equivalent. Applications with 
project narratives (excluding Project Summaries and appendices) of more 
than 30 letter-size pages of 12 c.p.i. type or equivalent on a single 
side will not be reviewed for funding.
    The budget narrative, charts, exhibits, resumes, position 
descriptions, letters of support or commitment are not counted against 
this page limit and should be in the Appendix. It is strongly 
recommended that applicants adopt for their program project narratives 
the sequence and content described in part III, section I.
    (3) Application must contain documentation of the applicant's tax 
exempt status as required under PART II, Section C.
    Applicants are strongly encouraged to mobilize additional 
resources, which may be cash or in-kind contributions, Federal or non-
Federal. [See PART E]

E. Consideration of Applications

    Applications which pass the initial OCS screening will be reviewed 
and rated by an independent review panel on the basis of the Program 
Elements and Review Criteria set forth in PART III. These review 
criteria were designed to assess the quality of a proposed project and 
determine the likelihood of its success. The review criteria are 
closely related and are considered as a whole in judging the overall 
quality of an application. Points are awarded only to applications 
which are responsive to the program elements and review

[[Page 30699]]

criteria within the context of this Program Announcement.
    Reviewers' scores will assist the Director and OCS program staff in 
considering competing applications. Reviewers' scores will weigh 
heavily in funding decisions, but will not be the only factors 
considered.
    Applications generally will be considered in order of the average 
scores assigned by reviewers. However, highly ranked applications are 
not guaranteed funding because other factors are taken into 
consideration. These include, but are not limited to: the timely and 
proper completion by applicant of projects funded with OCS funds 
granted in the last five (5) years; comments of reviewers and 
government officials; staff evaluation and input; amount and duration 
of the grant requested and the proposed project's consistency and 
harmony with OCS goals and policy; geographic distribution of 
applications; previous program performance of applicants; compliance 
with grant terms under previous HHS grants, including the actual 
dedication to program of mobilized resources as set forth in project 
applications; audit reports; investigative reports; and applicant's 
progress in resolving any final audit disallowance on previous OCS or 
other Federal agency grants.
    Applicants may omit from the application the specific salary rates 
or amounts for individuals identified in the application budget. 
Rather, only summary information is required. OCS reserves the right to 
discuss applications with other Federal or non-Federal funding sources 
to verify the applicant's performance record and the documents 
submitted.

Part V. Instructions for Completing Forms SF 424

    All application forms are now available on the ACF website for 
downloading: http://www.acf.dhhs.gov/programs/ofs/forms.htm.
    The standard forms attached to this announcement shall be used to 
apply for funds under this program announcement.
    It is suggested that you reproduce single-sided copies of the SF-
424 and SF-424A, and type your application on the copies. Please 
prepare your application in accordance with instructions provided on 
the forms (Attachments B,C and D) as modified by the instructions set 
forth in PART III. above, and the OCS specific instructions set forth 
below:
    Provide line item detail and detailed calculations for each budget 
object class identified on the Budget Information form. Detailed 
calculations must include estimation methods, quantities, unit costs, 
and other similar quantitative detail sufficient for the calculation to 
be duplicated. The detailed budget must also include a breakout by the 
funding sources identified in Block 15 of the SF-424.
    Provide a narrative budget justification which describes how the 
categorical costs are derived. Discuss the necessity, reasonableness, 
and allocability of the proposed costs. (Note: The Budget detail and 
Narrative Budget Justification should follow the SF 424 and 424A, and 
are not counted as part of the Project Narrative.)

A. SF-424--Application for Federal Assistance (Attachment B)

    Where the applicant is a previous DHHS grantee, enter the Central 
Registry System Employee Identification Number (CRS/EIN) and the 
Payment Identifying Number, if one has been assigned, in the Block 
entitled Federal Identifier located at the top right hand corner of the 
form (third line from the top).
    Item 1. For the purposes of this announcement, all projects are 
considered Applications; there are no Pre-Applications.
    Item 7. If applicant Is an Indian Tribe enter ``K'' in the box. If 
applicant is a non-profit organization enter ``N'' in the box.
    Item 9. Name of Federal Agency--Enter DHHS-ACF/OCS.
    Item 10. The Catalog of Federal Domestic Assistance number for OCS 
programs covered under this announcement is 93.571. The title is 
``Community Food and Nutrition Program (CFNP).''
    Item 11. In addition to a brief descriptive title of the project, 
indicate the priority area for which funds are being requested. Use the 
following letter designations:
    Use Priority Area 1.0 for General Projects.
    Item 13. Proposed Project Dates--Show 12-month project period. (See 
Part II) In addition, the project start date must begin on or before 
September 30, 2002; the ending date should be calculated on the basis 
of a 12-month Project Period.
    Item 14. Congressional District of Applicant/Project--Enter the 
number(s) of the Congressional District where the applicant's principal 
office is located and the number(s) of the Congressional District(s) 
where the project will be located.
    Item 15. Estimated Funding--Item 15a. Show the total amount 
requested for the entire project period; Item 15b-e. For each line 
item, show both cash and third party in-kind contributions for the 
total project period; Item 15f. Show the estimated amount of program 
income for the total project period; Item 15g. Enter the sum of all the 
line items.

B. SF-424A--Budget Information--Non-Construction Programs (Attachment 
C)

    In completing these sections, the Federal Funds budget entries will 
relate to the requested OCS Community Food and Nutrition Program funds 
only, and Non-Federal will include funds mobilized from all other 
sources--applicant, state, local, and other. Federal funds other than 
those requested from the Community Food and Nutrition Program should be 
included in Non-Federal entries.
    Sections A and D of SF-424A must contain entries for both Federal 
(OCS) and non-Federal mobilized funds.
Section A--Budget Summary
Lines 1--4
Column (a) Line 1--Enter OCS CFNP
Column (b) Line 1--Enter 93.571
Columns (c) and (d)--Not Applicable
Columns (e), (f) and (g)--Line 1--Enter appropriate amounts needed to 
support the project for the entire project period.
Line 5
    Enter the figures from Line 1 for all columns completed, (e), (f), 
and (g).
Section B--Budget Categories
    This section should contain entries for OCS funds only. For all 
projects, the first budget period of 12 months will be entered in 
Column (1).
    Allocability of costs is governed by applicable cost principles set 
forth in the Code of Federal Regulations (CFR), Title 45, parts 74 and 
92.
    Budget estimates for administrative costs must be supported by 
adequate detail for the grants officer to perform a cost analysis and 
review. Adequately detailed calculations for each budget object class 
are those which reflect estimation methods, quantities, unit costs 
salaries, and other similar quantitative detail sufficient for the 
calculation to be duplicated. For any additional object class 
categories included under the object class other, identify the 
additional object class(es) and provide supporting calculations.
    Supporting narratives and justifications are required for each 
budget category, with emphasis on unique/special initiatives; large 
dollar amounts; local, regional, or other travel; new positions; major 
equipment purchases; and training programs.

[[Page 30700]]

    A detailed itemized budget with a separate budget justification for 
each major item should be included as indicated below:
Line 6a
    Personnel--Enter the total costs of salaries and wages.
    Justification--Identify the project director and staff. Specify by 
title or name the percentage of time allocated to the project, the 
individual annual salaries and the cost to the project (both Federal 
and non-Federal) of the organization's staff who will be working on the 
project.
Line 6b
    Fringe Benefits--Enter the total costs of fringe benefits unless 
treated as part of an approved indirect cost rate which is entered on 
Line 6j.
    Justification--Enter the total costs of fringe benefits, unless 
treated as part of an approved indirect cost rate. Provide a breakdown 
of amounts and percentages that comprise fringe benefit costs.
Line 6c
    Travel--Enter total cost of all travel by employees of the project. 
Do not enter costs for consultant's travel.
    Justification--Include the name(s) of traveler(s), total number of 
trips, destinations, length of stay, mileage rate, transportation costs 
and subsistence allowances. Traveler must be a person listed under the 
personnel line or employee being paid under non-Federal share. (Note: 
Local transportation and consultant travel costs are entered on Line 
6h.)
Line 6d
    Equipment--Enter the total costs of all equipment to be acquired by 
the project. Equipment means an article of non-expendable, tangible 
personal property having a useful life of more than one year and an 
acquisition cost which equals or exceeds the lesser of (a) the 
capitalization level established by the organization for financial 
statement purposes, or (b) $5,000. [Note: If an applicant's current 
rate agreement was based on another definition for equipment, such as 
``tangible personal property $500 or more,'' the applicant shall use 
the definition used by the cognizant agency in determining the rate(s). 
However, consistent with the applicant's equipment policy, lower limits 
may be set.]
    Justification--Equipment to be purchased with Federal funds must be 
required to conduct the project, and the applicant organization or its 
sub-grantees must not already have the equipment or a reasonable 
facsimile available to the project.
Line 6e
    Supplies--Enter the total costs of all tangible personal property 
other than that included on line 6d.
    Justification--Provide a general description of what is being 
purchased such as type of supplies (office, classroom, medical, etc.). 
Include equipment costing less than $5,000 per item.
Line 6f
    Contractual--Costs of all contracts for services and goods except 
for those which belong under other categories such as equipment, 
supplies, construction, etc. Third-party evaluation contracts (if 
applicable) and contracts with secondary recipient organizations, 
including delegate agencies and specific project(s) or businesses to be 
financed by the applicant, should be included under this category.
    Justification: All procurement transactions shall be conducted in a 
manner to provide, to the maximum extent practical, open and free 
competition. Recipients and sub-recipients, other than States that are 
required to use Part 92 procedures, must justify any anticipated 
procurement action that is expected to be awarded without competition 
and exceed the simplified acquisition threshold fixed at 41 USC 403(11) 
currently set at $100,000. Recipients might be required to make 
available to ACF pre-award review and procurement documents, such as 
request for proposals or invitations for bids, independent cost 
estimates, etc.

    Note: Whenever the applicant intends to delegate part of the 
project to another agency, the applicant must provide a detailed 
budget and budget narrative for each delegate agency, by agency 
title, along with the required supporting information referred to in 
these instructions.

Line 6g
    Construction--Not applicable.
Line 6h
    Other--Enter the total of all other costs. Such costs, where 
applicable, may include, but are not limited to, insurance, food, 
medical and dental costs (non-contractual); fees and travel paid 
directly to individual consultants; local transportation (all travel 
which does not require per diem is considered local travel); space and 
equipment rentals; printing and publication; computer use training 
costs including tuition and stipends; training service costs including 
wage payments to individuals and supportive service payments; and staff 
development costs.
Line 6j
    Indirect Charges--Enter the total amount of indirect costs. This 
line should be used only when the applicant currently has an indirect 
cost rate approved by DHHS or other Federal agencies.
    If the applicant organization is in the process of initially 
developing or renegotiating a rate, it should, immediately upon 
notification that an award will be made, develop a tentative indirect 
cost rate proposal based on its most recently completed fiscal year in 
accordance with the principles set forth in the pertinent DHHS Guide 
for Establishing Indirect Cost Rates and submit it to the appropriate 
DHHS Regional Office. It should be noted that when an indirect cost 
rate is requested, those costs included in the indirect cost pool 
cannot also be budgeted or charged as direct costs to the grant. 
Indirect costs consistent with approved indirect cost rate agreements 
are allowable. Also, if the applicant is requesting a rate which is 
less than what is allowed under the program, the authorized 
representative of the applicant organization must submit a signed 
acknowledgment that the applicant is accepting a lower rate than 
allowed.
Line 6k
    Totals--Enter the total amount of Lines 6i and 6j.
Line 7
    Program Income--Enter the estimated amount of income, if any, 
expected to be generated from this project. Separately show expected 
program income generated from OCS support and income generated from 
other mobilized funds. Do not add or subtract this amount from the 
budget total. Show the nature and source of income in the program 
narrative statement.
    Justification--Describe the nature, source and anticipated use of 
program income in the Program Narrative Statement.
Section C--Non-Federal Resources
    This section is to record the amounts of non-Federal resources that 
will be used to support the project. Non-Federal resources mean other 
than OCS funds for which the applicant has received a commitment. 
Provide a brief explanation, on a separate sheet, showing the type of 
contribution, broken out by Object Class Category, (see SF-424A, 
Section B.6) and whether it is cash or third party in-kind. The firm 
commitment of these required

[[Page 30701]]

funds must be documented and submitted with the application in order to 
be given credit in the criterion.
    This documentation must be in the form of letters of commitment or 
letters of intent from the organization(s)/individuals from which funds 
will be received.
Line 8
Column (a)--Enter the project title.
Column (b)--Enter the amount of cash or donations to be made by the 
applicant.
Column (c)--Enter the State contribution.
Column (d)--Enter the amount of cash and third party in-kind 
contributions to be made from all other sources.
Column (e)--Enter the total of columns (b), (c), and (d).
Lines 9, 10 and 11
    Leave Blank.
Line 12
    Carry the total of each column of Line 8, (b) through (e). The 
amount in Column (e) should be equal to the amount on Section A, Line 
5, Column (f).
    Justification--Describe third party in-kind contributions, if 
included.

Section D--Forecasted Cash Needs

Line 13
    Federal--Enter the amount of Federal (OCS) cash needed for this 
grant, by quarter, during the 12-month budget period.
Line 14
    Non-Federal--Enter the amount of cash from all other sources needed 
by quarter during the first year.
Line 15
    Totals--Enter the total of Lines 13 and 14.
Section F--Other Budget Information
Line 21
    Direct Charges--Include narrative justification required under 
Section B for each object class category for the total project period.
Line 22
    Indirect Charges--Enter the type of DHHS or other Federal agency 
approved indirect cost rate (provisional, predetermined, final or 
fixed) that will be in effect during the funding period, the estimated 
amount of the base to which the rate is applied and the total indirect 
expense. Also, enter the date the rate was approved, where applicable. 
Attach a copy of the approved rate agreement.
Line 23
    Provide any other explanations and continuation sheets required or 
deemed necessary to justify or explain the budget information.

C. SF-424B--Assurances Non-Construction Programs (Attachment D)

    All applicants must sign and return the ``Assurances'' with the 
application.

Part VI. Contents of Application and Receipt Process

A. Contents of Application

    Each CFNP application must include all of the following, in the 
order listed below:

1. Table of Contents

    2. An abstract of the Proposed Project--very brief, not to exceed 
250 words, that would be suitable for use in an announcement that the 
application has been selected for a grant award and which identifies 
the type of project, the target population, and the major elements of 
the work plan.
    3. A completed Standard Form 424 that has been signed by an 
Official of the organization applying for the grant who has authority 
to obligate the organization legally. (Attachment B)
    4. Budget Information-Non-Construction Programs (SF-424A) 
(Attachment C);
    5. A narrative budget justification for each object class category 
required under Section B, SF-424A.
    6. Certification and Assurances Required: Applicants requesting 
financial assistance for a non-construction project must sign and 
return Standard Form 424B, ``Assurances: Non-Construction Programs'' 
with their applications. (See Attachment D)
    Applicants must provide a Certification Regarding Lobbying. Prior 
to receiving an award in excess of $100,000, applicants shall furnish 
an executed copy of the lobbying certification. Applicants must sign 
and return the certification with their application. (See Attachment H)
    Applicants must make the appropriate certification of their 
compliance with the Drug-Free Workplace Act of 1988. By signing and 
submitting the applications, applicants are providing the certification 
and need not mail back the certification with the applications. (See 
Attachment E)
    Applicant must make the appropriate certification that they are not 
presently debarred, suspended or otherwise ineligible for award. By 
signing and submitting the applications, applicants are providing the 
certification and need not mail back the certification with the 
applications. (See Attachment F)
    Applicants must make the appropriate certification of their 
compliance with all Federal statues relating to nondiscrimination. By 
signing and submitting the applications, applicants are providing the 
certification and need not mail back a certification form.
    Applicants must make the appropriate certification of their 
compliance with the requirements of the Pro-Children Act of 1994 as 
outlined in Certification Regarding Environmental Tobacco Smoke. (See 
Attachment J)
    7. A Project Narrative of no more than 30 pages consisting of the 
Elements described in Part III of this announcement set forth in the 
order therein presented and preceded by a consecutively numbered table 
of contents.
    The total number of pages for the narrative portion of the 
application package must not exceed 30 pages. (See Part IV.D.2 for 
pages that do not count against the 30-page limit).
    8. Appendices--proof of nonprofit tax-exempt status as outlined in 
Part II, Section C; Single Point of Contact comments, if applicable, 
and resumes and position descriptions.
    Pages should be numbered sequentially throughout, including 
appendices, beginning with the Abstract as page 1.

B. Application Format

    Applications must be uniform in composition since OCS may find it 
necessary to duplicate them for review purposes. Therefore, 
applications must be submitted on white 8-\1/2\ x 11 inch paper only. 
Applicants must not include colored, oversized or folded materials. 
Applicants should not include organizational brochures or other 
promotional materials, slides, films, clips, etc. Such material will be 
discarded if included.
    Applications must be bound or enclosed in loose-leaf binder 
notebooks. Preferably, applications should be two-holed punched at the 
top center and fastened separately with a compressor slide paper 
fastener, or a binder clip.

C. Acknowledgment of Receipt

    All applicants will receive an acknowledgment with an assigned 
identification number. Applicants are requested to supply a self-
addressed mailing label with their Application, or a FAX number or e-
mail address which can be used for acknowledgment. The assigned 
identification number, along with any other identifying codes, must be 
referenced in all subsequent communications concerning the

[[Page 30702]]

Application. If an acknowledgment is not received within three weeks 
after the deadline date, please notify the OCS Operations Center at 1-
800-281-9519.

Part VII. Post Award Information and Reporting Requirements

A. Notification of Grant Award

    Following approval of the applications selected for funding, notice 
of project approval and authority to draw down project funds will be 
made in writing. The official award document is the Financial 
Assistance Award which specifies the amount of Federal funds approved 
for use in the project, the project and budget period for which support 
is provided, the terms and conditions of the award.

B. Reporting Requirements

    Grantees will be required to submit semi-annual program progress 
and financial reports (SF 269) as well as a final progress and 
financial report.

C. Audit Requirements

    Grantees are subject to the audit requirements in 45 CFR Part 74 
(non-profit organizations) or Part 92 (governmental entities) which 
require audits under OMB Circular A-133.

D. Prohibitions and Requirements With Regard To Lobbying

     Section 319 of Public Law 101-121, signed into law on October 23, 
1989, imposes prohibitions and requirements for disclosure and 
certification related to lobbying on recipients of Federal contracts, 
grants, cooperative agreements, and loans. It provides limited 
exemptions for Indian tribes and tribal organizations. Current and 
prospective recipients (and their subtier contractors and/or grantees) 
are prohibited from using appropriated funds for lobbying Congress or 
any Federal agency in connection with the award of a contract, grant, 
cooperative agreement or loan. In addition, for each award action in 
excess of $100,000 (or $150,000 for loans) the law requires recipients 
and their subtier contractors and/or sub-grantees (1) to certify that 
they have neither used nor will use any appropriated funds for payment 
to lobbyists, (2) to submit a declaration setting forth whether 
payments to lobbyists have been or will be made out of non-appropriated 
funds and, if so, the name, address, payment details, and purpose of 
any agreements with such lobbyists whom recipients or their subtier 
contractors or sub-grantees will pay with the non-appropriated funds 
and (3) to file quarterly up-dates about the use of lobbyists if an 
event occurs that materially affects the accuracy of the information 
submitted by way of declaration and certification.
    The law establishes civil penalties for noncompliance and is 
effective with respect to contracts, grants, cooperative agreements and 
loans entered into or made on or after December 23, 1989. See 
Attachment H, for certification and disclosure forms to be submitted 
with the applications for this program.

E. Applicable Federal Regulations

    Attachment K indicates the regulations which apply to all 
applicants/grantees under the Community Food and Nutrition Program.

    Dated: April 19, 2002.
Clarence H. Carter,
Director, Office of Community Services.

List of Attachments

    A. 2002 Poverty Income Guidelines.
    B. Standard Form 424, Application for Federal Assistance.
    C. Standard Form 424A, Budget Information--Non-Construction 
Programs.
    D. Standard Form 424B, Assurances--Non-Construction Programs.
    E. Certification Regarding Drug-Free Workplace Requirements.
    F. Certification Regarding Debarment, Suspension And Other 
Responsibility Matters.
    G. Intergovernmental Review State Single Point Of Contact (SPOC) 
List.
    H. Certification Regarding Lobbying and Disclosure Of Lobbying 
Activities, Standard Form LLL.
    I. Applicant's Checklist.
    J. Certification Regarding Environmental Tobacco Smoke.
    K. DHHS Regulations Applying To All Applicants/Grantees Under 
The Community Food and Nutrition Program (CFNP).

Attachment A

2002 Poverty Guidelines for the 48 Contiguous States and the District of
                                Columbia
------------------------------------------------------------------------
                                                             Poverty
                   Size of family unit                      guideline
-----------------------------------------------------------------------
1........................................................       $8,860
2........................................................       11,940
3........................................................       15,020
4........................................................       18,100
5........................................................       21,180
6........................................................       24,260
7........................................................       27,340
8........................................................      30,420
------------------------------------------------------------------------
Note.--For family units with more than 8 members, add $3,080 for each
  additional member. (The same increment applies to smaller family sizes
  also, as can be seen in the figures above).


                   2001 Poverty Guidelines for Alaska
------------------------------------------------------------------------
                                                             Poverty
                   Size of family unit                      guideline
-----------------------------------------------------------------------
1........................................................      $11,080
2........................................................       14,930
3........................................................       18,780
4........................................................       22,630
5........................................................       26,480
6........................................................       30,330
7........................................................       34,180
8........................................................      38,030
------------------------------------------------------------------------
Note.--For family units with more than 8 members, add $3,850 for each
  additional member. (The same increment applies to smaller family sizes
  also, as can be seen in the figures above).


                   2001 Poverty Guidelines for Hawaii
------------------------------------------------------------------------
                                                             Poverty
                   Size of family unit                      guideline
-----------------------------------------------------------------------
1........................................................      $10,200
2........................................................       13,740
3........................................................       17,280
4........................................................       20,820
5........................................................       24,360
6........................................................       27,900
7........................................................       31,440
8........................................................      34,180
------------------------------------------------------------------------
Note.--For family units with more than 8 members, add $3,080 for each
  additional member. (The same increment applies to smaller family sizes
  also, as can be seen in the figures above).

BILLING CODE 7590-01-M

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Attachment C.--Instructions for the SF-424A

    Public reporting burden for this collection of information is 
estimated to average 180 minutes per response, including time for 
reviewing instructions, searching existing data sources, gathering 
and maintaining the data needed, and completing and reviewing the 
collection of information. Send comments regarding the burden 
estimate or any other aspect of this collection of information, 
including suggestions for reducing this burden, to the Office of 
Management and Budget, Paperwork Reduction Project (0348-0044), 
Washington, DC 20503.
    Please do not return your completed form to the Office of 
Management and Budget. Send it to the address provided by the 
sponsoring agency.

General Instructions

    This form is designed so that application can be made for funds 
from one or more grant programs. In preparing the budget, adhere to 
any existing Federal grantor agency guidelines which prescribe how 
and whether budgeted amounts should be separately shown for 
different functions or activities within the program. For some 
programs, grantor agencies may require budgets to be separately 
shown by function or activity. For other programs, grantor agencies 
may require a breakdown by function or activity. Sections A, B, C, 
and D should include budget estimates for the whole project except 
when applying for assistance which requires Federal authorization in 
annual or other funding period increments. In the latter case, 
Sections A, B, C, and D should provide the budget for the first 
budget period (usually a year) and Section E should present the need 
for Federal assistance in the subsequent budget periods. All 
applications should contain a breakdown by the object class 
categories shown in Lines a-k of Section B.

Section A. Budget Summary Lines 1-4 Columns (a) and (b)

    For applications pertaining to a single Federal grant program 
(Federal Domestic Assistance Catalog number) and not requiring a 
functional or activity breakdown, enter on Line 1 under Column (a) 
the Catalog program title and the Catalog number in Column (b).
    For applications pertaining to multiple programs where one or 
more programs require a breakdown by function or activity, prepare a 
separate sheet for each program requiring the breakdown. Additional 
sheets should be used when one form does not provide adequate space 
for all breakdown of data required. However, when more than one 
sheet is used, the first page should provide the summary totals by 
programs.
    Lines 1-4, Columns (c) through (g).
    For new applications, leave Column (c) and (d) blank. For each 
line entry in Columns (a) and (b), enter in Columns (e), (f), and 
(g) the appropriate amounts of funds needed to support the project 
for the first funding period (usually a year).
    For continuing grant program applications, submit these forms 
before the end of each funding period as required by the grantor 
agency. Enter in Columns (c) and (d) the estimated amounts of funds 
which will remain unobligated at the end of the grant funding period 
only if the Federal grantor agency instructions provide for this. 
Otherwise, leave these columns blank. Enter in columns (e) and (f) 
the amounts of funds needed for the upcoming period. The amount(s) 
in Column (g) should be the sum of amounts in Columns (e) and (f).
    For supplemental grants and changes to existing grants, do not 
use Columns (c) and (d). Enter in Column (e) the amount of the 
increase or decrease of non-Federal funds. In Column (g) enter the 
new total budgeted amount (federal and non-Federal) which includes 
the total previous authorized budgeted amounts plus or minus, as 
appropriate, the amounts shown in Columns (e) and (f). The amount(s) 
in Column (g) should not equal the sum of amounts in Column (e) and 
(f).
    Line 5--Show the totals for all columns used.

Section B. Budget Categories

    In the column headings (1) through (4), enter the titles of the 
same programs, functions, and activities shown on Lines 1-4, Column 
(a), Section A. When additional sheets are prepared for Section A, 
provide similar column headings on each sheet. For each program, 
function or activity, fill in the total requirements for funds (both 
Federal and non-Federal) by object class categories.
    Line 6a-i--Show the totals of Lines 6a to 6h in each column.
    Line 6j--Show the amount of indirect cost.
    Line 6k--Enter the total of amounts on Lines 6i and 6j. For all 
applications for new grants and continuation grants the total amount 
in column (5) Line 6k, should be the same as the total amount shown 
in Section A, Column (g), Line 5. For supplemental grants and 
changes to grants, the total amount of the increase or decrease as 
shown in Columns (1)-(4), Line 6k should be the same as the sum of 
the amounts in Section A, Columns (e) and (f) on Line 5.
    Line 7--Enter the estimated amount of income, if any, expected 
to be generated from this project. Do not add or subtract this 
amount from the total project amount. Show under the program 
narrative statement the nature and spruce of income. The estimated 
amount of program income may be considered by the Federal grantor 
agency in determining the total amount of the grant.

Section C. Non-Federal Resources

    Line 8-11 Enter amounts of non-Federal resources that will be 
used on the grant. If in-kind contributions are included, provide a 
brief explanation on a separate sheet.
    Column (a)--Enter the program titles identical to Column (a), 
Section A. A breakdown by function or activity is not necessary.
    Column (b)--Enter the contribution to be made by the applicant.
    Column (c)--Enter the amount of the State's cash and in-kind 
contribution if the applicant is not a State or State agency. 
Applicants which are a State or State agencies should leave this 
column blank.
    Column (d)--Enter the amount of cash and in-kind contributions 
to be made from all other sources.
    Column (e)--Enter totals of Columns (b), (c), and (d).
    Line 12--Enter the total for each of Columns (b)-(e). The amount 
in Column (e) should be equal to the amount on Line 5, Column (f), 
Section A.

Section D. Forecasted Cash Needs

    Line 13--Enter the amount of cash needed by quarter from the 
grantor agency during the first year.
    Line 14--Enter the amount of cash from all other sources needed 
by quarter during the first year.
    Line 15--Enter the totals of amounts on Lines 13 and 14.

Section E. Budget Estimates of Federal Funds Needed for Balance of 
the Project

    Line 16-19--Enter in Column (a) the same grant program titles 
shown in Column (a), Section A. A breakdown by function or activity 
is not necessary. For new applications and continuation grant 
applications, enter in the proper columns amounts of Federal funds 
which will be needed to complete the program or project over the 
succeeding funding periods (usually in years). That section need not 
be completed for revisions (amendments, changes, or supplements) to 
funds for the current year of existing grants.
    If more than four lines are needed to list the program titles, 
submit additional schedules as necessary.
    Line 20--Enter the total for each of the Columns (b)-(e). When 
additional schedules are prepared for this Section, annotate 
accordingly and show the overall totals on this line.

Section F. Other Budget Information

    Line 21--Use this space to explain amounts for individual direct 
object class cost categories that may appear to be out of the 
ordinary or to explain the details as required by the federal 
grantor agency.
    Line 22--Enter the type of indirect rate (provisional, 
predetermined, final or fixed) that will be in effect during the 
funding period, the estimated amount of the base to which the rate 
is applied, and the total indirect expense.
    Line 23--Provide any other explanations or comments deemed 
necessary.

Attachment D.--Assurances--Nonconstruction Programs

    Public reporting burden for this collection of information is 
estimated to average 15 minutes per response, including time for 
reviewing instructions, searching existing data sources, gathering 
and maintaining the data needed, and completing and reviewing the 
collection of information. Send comments regarding the burden 
estimate or any other aspect of this collection of information, 
including suggestions for reducing this burden, to the Office of 
Management and Budget, Paperwork Reduction Project (0348-0040), 
Washington, DC 20503.
    Please do not return your completed form to the Office of 
Management and Budget. Send it to the address provided by the 
sponsoring agency.


[[Page 30708]]


    Note: Certain of these assurances may not be applicable to your 
project or program. If you have questions, please contact the 
awarding agency. Further, certain Federal awarding agencies may 
require applicants to certify to additional assurances. If such is 
the case, you will be notified.

    As the duly authorized representatives of the applicant I 
certify that the applicant:
    1. Has the legal authority to apply for Federal assistance, and 
the institutional, managerial and financial capability (including 
funds sufficient to pay the non-Federal share of project costs) to 
ensure proper planning, management and completion of the project 
described in this application.
    2. Will give the awarding agency, the Comptroller General of the 
United States, and if appropriate, the State, through any authorized 
representative, access to and the right to examine all records, 
books, papers, or documents related to the award; and will establish 
a proper accounting system in accordance with generally accepted 
accounting standard of agency directives.
    3. Will establish safeguards to prohibit employees from using 
their positions for a purpose that constitutes or presents the 
appearance of personal or organizational conflict of interest, or 
personal gain.
    4. Will initiate and complete the work within the applicable 
time frame after receipt of approval of the awarding agency.
    5. Will comply with the Intergovernmental Personnel Act of 1970 
(42 U.S.C. Secs. 4728-4763) relating to prescribed standards for 
merit systems for programs funded under one of the nineteen statutes 
or regulations specified in Appendix A of OPM's Standard for a Merit 
System of Personnel Administration (5 C.F.R. 900, Subpart F).
    6. Will comply with all Federal statutes relating to 
nondiscrimination. These include but are not limited to: (a) Title 
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits 
discrimination on the basis of race, color or national origin; (b) 
Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 
Secs. 1681-1683, and 1685-1686), which prohibits discrimination on 
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, 
as amended (29 U.S.C. Secs. 794), which prohibits discrimination on 
the basis of handicaps; (d) the Age Discrimination Act of 1975, as 
amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination 
on the basis of age;
    (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-
255), as amended, relating to nondiscrimination on the basis of drug 
abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism 
Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), 
as amended, relating to nondiscrimination on the basis of alcohol 
abuse or alcoholism; (g) Secs. 523 and 527 of the Public Health 
Service Act of 1912 (42 U.S.C. Secs. 290 dd-3 and 290ee-3), as 
amended, relating to confidentiality of alcohol and drug abuse 
patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 
U.S.C. Secs. 3601 et seq.), as amended, relating to non-
discrimination in the sale, rental or financing of housing; (i) any 
other nondiscrimination provisions in the specific statute(s) under 
which application for Federal assistance is being made; and (j) the 
requirements of any other nondiscrimination statute(s) which may 
apply to the application.
    7. Will comply, or has already complied, with the requirements 
of Title II and III of the Uniform Relocation Assistance and Real 
Property Acquisition Policies Act of 1970 (P.L. 91-646) which 
provide for fair and equitable treatment of persons displaced or 
whose property is acquired as a result of Federal or federally 
assisted programs. These requirements apply to all interests in real 
property acquired for project purposes regardless of Federal 
participation in purchases.
    8. Will comply with the provisions of the Hatch Act (5 U.S.C. 
Secs. 1501--1508 and 7324-7328) which limit the political activities 
of employees whose principal employment activities are funded in 
whole or in part with Federal funds.
    9. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40 
U.S.C. Sec. 276c and 18 U.S.C. Sec. 874, and the Contract Work Hours 
and Safety Standards Act (40 U.S.C. Secs. 327--333), regarding labor 
standards for federally assisted construction subagreements.
    10. Will comply, if applicable, with flood insurance purchase 
requirements of Section 102(a) of the Flood Disaster Protection Act 
of 1973 (P.L. 93-234) which requires recipients in a special flood 
hazard area to participate in the program and to purchase flood 
insurance if the total cost of insurable construction and 
acquisition is $10,000 or more.
    11. Will comply with environmental standards which may be 
prescribed pursuant to the following: (a) institution of 
environmental quality control measures under the National 
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order 
(EO) 11514; (b) notification of viiolating facilities pursuant to EO 
11738; (c) protection of wetland pursuant to EO 11990; (d) 
evaluation of flood hazards in floodplains in accordance with EO 
11988; (e) assurance of project consistency with the approved State 
management program developed under the Costal Zone Management Act of 
1972 (16 U.S.C. Secs. 1451 et seq.); (f) conformity of Federal 
actions to State (Clear Air) Implementation Plans under Section 
176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. 
Secs. 7401 et seq.); (g) protection of underground sources of 
drinking water under the Safe Drinking Water Act of 1974, as 
amended, (P.L. 93-523); and (h) protection of endangered species 
under the Endangered Species Act of 1973, as amended, (P.L. 93-205).
    12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 
U.S.C. Secs. 1271 et seq.) related to protecting components or 
potential components of the national wild and scenic rivers system.
    13. Will assist the awarding agency in assuring compliance with 
Section 106 of the National Historic Preservation Act of 1966, as 
amended (16 U.S.C Sec. 470), EO 11593 (identification and protection 
of historic properties), and the Archaeological and Historic 
Preservation Act of 1974 (16 U.S.C. Secs. 49a-1 et seq.).
    14. Will comply with P.L. 93-348 regarding the protection of 
human subjects involved in research, development, and related 
activities supported by this award of assistance.
    15. Will comply with the Laboratory Animal Welfare Act of 1966 
(P.L. 89-544, as amended, 7 U.S.C. Secs. 2131 et seq.) pertaining to 
the care, handling, and treatment of warm blooded animals held for 
research, teaching, or other activities supported by this award of 
assistance.
    16. Will comply with the Lead-Based Paint Poisoning Prevention 
Act (42 U.S.C. Secs. 4801 et seq.) which prohibits the use of lead 
based paint in construction or rehabilitation of residence 
structures.
    17. Will cause to be performed the required financial and 
compliance audits in accordance with the Single Audit Act of 1984.
    18. Will comply with all applicable requirements of all other 
Federal laws, executive orders, regulations and policies governing 
this program.
----------------------------------------------------------------------
Signature of Authorized Certifying Official

----------------------------------------------------------------------
Title

----------------------------------------------------------------------
Applicant Organization

----------------------------------------------------------------------
Date Submitted

Attachment E.--Certification Regarding Drug-Free Workplace Requirements

    This certification is required by the regulations implementing 
the Drug-Free Workplace Act of 1988: 45 CFR Part 76, Subpart F. 
Sections 76.630(c) and (d)(2) and 76.645(a)(1) and (b) provide that 
a Federal agency may designate a central receipt point for STATE-
WIDE AND STATE AGENCY-WIDE certifications, and for notification of 
criminal drug convictions. For the Department of Health and Human 
Services, the central point is: Division of Grants Management and 
Oversight, Office of Management and Acquisition, Department of 
Health and Human Services, Room 517-D, 200 Independence Avenue, SW., 
Washington, DC 20201.

Certification Regarding Drug-Free Workplace Requirements 
(Instructions for Certification)

    1. By signing and/or submitting this application or grant 
agreement, the grantee is providing the certification set out below.
    2. The certification set out below is a material representation 
of fact upon which reliance is placed when the agency awards the 
grant. If it is later determined that the grantee knowingly rendered 
a false certification, or otherwise violates the requirements of the 
Drug-Free Workplace Act, the agency, in addition to any other 
remedies available to the Federal Government, may take action 
authorized under the Drug-Free Workplace Act.
    3. For grantees other than individuals, Alternate I applies.
    4. For grantees who are individuals, Alternate II applies.
    5. Workplaces under grants, for grantees other than individuals, 
need not be identified on the certification. If known, they may be

[[Page 30709]]

identified in the grant application. If the grantee does not 
identify the workplaces at the time of application, or upon award, 
if there is no application, the grantee must keep the identity of 
the workplace(s) on file in its office and make the information 
available for Federal inspection. Failure to identify all known 
workplaces constitutes a violation of the grantee's drug-free 
workplace requirements.
    6. Workplace identifications must include the actual address of 
buildings (or parts of buildings) or other sites where work under 
the grant takes place. Categorical descriptions may be used (e.g., 
all vehicles of a mass transit authority or State highway department 
while in operation, State employees in each local unemployment 
office, performers in concert halls or radio studios).
    7. If the workplace identified to the agency changes during the 
performance of the grant, the grantee shall inform the agency of the 
change(s), if it previously identified the workplaces in question 
(see paragraph five).
    8. Definitions of terms in the Nonprocurement Suspension and 
Debarment common rule and Drug-Free Workplace common rule apply to 
this certification. Grantees' attention is called, in particular, to 
the following definitions from these rules:
    Controlled substance means a controlled substance in Schedules I 
through V of the Controlled Substances Act (21 U.S.C. 812) and as 
further defined by regulation (21 CFR 1308.11 through 1308.15);
    Conviction means a finding of guilt (including a plea of nolo 
contendere) or imposition of sentence, or both, by any judicial body 
charged with the responsibility to determine violations of the 
Federal or State criminal drug statutes;
    Criminal drug statute means a Federal or non-Federal criminal 
statute involving the manufacture, distribution, dispensing, use, or 
possession of any controlled substance;
    Employee means the employee of a grantee directly engaged in the 
performance of work under a grant, including: (i) All direct charge 
employees; (ii) All indirect charge employees unless their impact or 
involvement is insignificant to the performance of the grant; and, 
(iii) Temporary personnel and consultants who are directly engaged 
in the performance of work under the grant and who are on the 
grantee's payroll. This definition does not include workers not on 
the payroll of the grantee (e.g., volunteers, even if used to meet a 
matching requirement; consultants or independent contractors not on 
the grantee's payroll; or employees of subrecipients or 
subcontractors in covered workplaces).

Certification Regarding Drug-Free Workplace Requirements

Alternate I. (Grantees Other Than Individuals)

    The grantee certifies that it will or will continue to provide a 
drug-free workplace by:
    (a) Publishing a statement notifying employees that the unlawful 
manufacture, distribution, dispensing, possession, or use of a 
controlled substance is prohibited in the grantee's workplace and 
specifying the actions that will be taken against employees for 
violation of such prohibition;
    (b) Establishing an ongoing drug-free awareness program to 
inform employees about--
    (1) The dangers of drug abuse in the workplace;
    (2) The grantee's policy of maintaining a drug-free workplace;
    (3) Any available drug counseling, rehabilitation, and employee 
assistance programs; and
    (4) The penalties that may be imposed upon employees for drug 
abuse violations occurring in the workplace;
    (c) Making it a requirement that each employee to be engaged in 
the performance of the grant be given a copy of the statement 
required by paragraph (a);
    (d) Notifying the employee in the statement required by 
paragraph (a) that, as a condition of employment under the grant, 
the employee will--
    (1) Abide by the terms of the statement; and
    (2) Notify the employer in writing of his or her conviction for 
a violation of a criminal drug statute occurring in the workplace no 
later than five calendar days after such conviction;
    (e) Notifying the agency in writing, within ten calendar days 
after receiving notice under paragraph (d)(2) from an employee or 
otherwise receiving actual notice of such conviction. Employers of 
convicted employees must provide notice, including position title, 
to every grant officer or other designee on whose grant activity the 
convicted employee was working, unless the Federal agency has 
designated a central point for the receipt of such notices. Notice 
shall include the identification number(s) of each affected grant;
    (f) Taking one of the following actions, within 30 calendar days 
of receiving notice under paragraph (d)(2), with respect to any 
employee who is so convicted--
    (1) Taking appropriate personnel action against such an 
employee, up to and including termination, consistent with the 
requirements of the Rehabilitation Act of 1973, as amended; or
    (2) Requiring such employee to participate satisfactorily in a 
drug abuse assistance or rehabilitation program approved for such 
purposes by a Federal, State, or local health, law enforcement, or 
other appropriate agency;
    (g) Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs (a), (b), (c), 
(d), (e) and (f).
    (B) The grantee may insert in the space provided below the 
site(s) for the performance of work done in connection with the 
specific grant:

Place of Performance (Street address, city, county, state, zip 
code)

    Check if there are workplaces on file that are not identified 
here.

Alternate II. (Grantees Who Are Individuals)

    (a) The grantee certifies that, as a condition of the grant, he 
or she will not engage in the unlawful manufacture, distribution, 
dispensing, possession, or use of a controlled substance in 
conducting any activity with the grant;
    (b) If convicted of a criminal drug offense resulting from a 
violation occurring during the conduct of any grant activity, he or 
she will report the conviction, in writing, within 10 calendar days 
of the conviction, to every grant officer or other designee, unless 
the Federal agency designates a central point for the receipt of 
such notices. When notice is made to such a central point, it shall 
include the identification number(s) of each affected grant.

Attachment F.--Certification Regarding Debarment, Suspension and Other 
Responsibility Matters

Certification Regarding Debarment, Suspension, and Other 
Responsibility Matters--Primary Covered Transactions

Instructions for Certification

    1. By signing and submitting this proposal, the prospective 
primary participant is providing the certification set out below.
    2. The inability of a person to provide the certification 
required below will not necessarily result in denial of 
participation in this covered transaction. The prospective 
participant shall submit an explanation of why it cannot provide the 
certification set out below. The certification or explanation will 
be considered in connection with the department or agency's 
determination whether to enter into this transaction. However, 
failure of the prospective primary participant to furnish a 
certification or an explanation shall disqualify such person from 
participation in this transaction.
    3. The certification in this clause is a material representation 
of fact upon which reliance was placed when the department or agency 
determined to enter into this transaction. If it is later determined 
that the prospective primary participant knowingly rendered an 
erroneous certification, in addition to other remedies available to 
the Federal Government, the department or agency may terminate this 
transaction for cause or default.
    4. The prospective primary participant shall provide immediate 
written notice to the department or agency to which this proposal is 
submitted if at any time the prospective primary participant learns 
that its certification was erroneous when submitted or has become 
erroneous by reason of changed circumstances.
    5. The terms covered transaction, debarred, suspended, 
ineligible, lower tier covered transaction, participant, person, 
primary covered transaction, principal, proposal, and voluntarily 
excluded, as used in this clause, have the meanings set out in the 
Definitions and Coverage sections of the rules implementing 
Executive Order 12549. You may contact the department or agency to 
which this proposal is being submitted for assistance in obtaining a 
copy of those regulations.
    6. The prospective primary participant agrees by submitting this 
proposal that, should the proposed covered transaction be entered 
into, it shall not knowingly enter into any lower tier covered 
transaction with a person who is proposed for debarment under 48 CFR 
part 9, subpart 9.4, debarred, suspended, declared ineligible, or 
voluntarily

[[Page 30710]]

excluded from participation in this covered transaction, unless 
authorized by the department or agency entering into this 
transaction.
    7. The prospective primary participant further agrees by 
submitting this proposal that it will include the clause tied 
``Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion-Lower Tier Covered Transaction,'' provided by 
the department or agency entering into this covered transaction, in 
all lower tier covered transactions and in all solicitations for 
lower tier covered transactions.
    8. A participant in a covered transaction may rely upon a 
certification of a prospective participant in a lower tier covered 
transaction that it is not proposed for debarment under 48 CFR part 
9, subpart 9.4, debarred, suspended, ineligible, or voluntarily 
excluded from the covered transaction, unless it knows that the 
certification is erroneous. A participant may decide the method and 
frequency by which it determines the eligibility of its principals. 
Each participant may, but is not required to, check the List of 
Parties Excluded from Federal Procurement and Nonprocurement 
Programs.
    9. Nothing contained in the foregoing shall be construed to 
require establishment of a system of records in order to render in 
good faith the certification required by this clause. The knowledge 
and information of a participant is not required to exceed that 
which is normally possessed by a prudent person in the ordinary 
course of business dealings.
    10. Except for transactions authorized under paragraph 6 of 
these instructions, if a participant in a covered transactions 
knowingly enters into a lower tier covered transaction with a person 
who is proposed for debarment under 48 CFR part 9, subpart 9.4, 
suspended, debarred, ineligible, or voluntarily excluded from 
participation in this transaction, in addition to other remedies 
available to the Federal Government, the department or agency may 
terminate this transaction for cause or default.

Certification Regarding Debarment, Suspension, and Other 
Responsibility Matters--Primary Covered Transactions

    (1) The prospective primary participant certifies to the best of 
its knowledge and belief, that it and its principals:
    (a) Are not presently debarred, suspended, proposed for 
debarment, declared ineligible, or voluntarily excluded by any 
Federal department or agency;
    (b) Have not within a three-year period preceding this proposal 
been convicted of or had a civil judgment rendered against them for 
commission of fraud or a criminal offense in connection with 
obtaining, attempting to obtain, or performing a public (Federal, 
State, or local) transaction or contract under a public transaction; 
violation of Federal or State antitrust statutes or commission of 
embezzlement, theft, forgery, bribery, falsification or destruction 
of records, making false statements, or receive stolen property;
    (c) Are not presently indicated for or otherwise criminally or 
civility charged by a government entity (Federal, State, local) with 
commission of any other the offenses enumerated in paragraph (1)(b) 
of this certification; and
    (d) Have not within a three-year period preceding this 
application/proposal had one or more public transactions (Federal, 
State, local) terminated for cause or default.
    (2) Where the prospective primary participant is unable to 
certify to any of the statements in this certification, such 
prospective participant shall attach an explanation to this 
proposal.

Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion--Lower Tier Covered Transactions

Instructions for Certification

    1. By signing and submitting this proposal, the prospective 
lower tier participant is providing the certification set out below.
    2. The certification in this clause is a material representation 
of fact upon which reliance was placed when this transaction was 
entered into. If it is later determined that the prospective lower 
tier participant knowingly rendered an erroneous certification, in 
addition to other remedies available to the Federal Government the 
department or agency with which this transaction originated may 
pursue available remedies, including suspension and/or debarment.
    3. The prospective lower tier participant shall provide 
immediate written notice to the person to which this proposal is 
submitted if at any time the prospective lower tier participant 
learns that its certification was erroneous when submitted or had 
become erroneous by reason of changed circumstances.
    4. The terms covered transaction, debarred, suspended, 
ineligible, lower tier covered transaction, participant, person, 
primary covered transaction, principal, proposal, and voluntarily 
excluded, as used in this clause, have the meaning set out in the 
Definitions and Coverage sections of rules implementing Executive 
Order 12549. You may contact the person to which this proposal is 
submitted for assistance in obtaining a copy of those regulations.
    5. The prospective lower tier participant agrees by submitting 
this proposal that, [[Page 33043]] should the proposed covered 
transaction be entered into, it shall now knowingly enter into any 
lower tier covered transaction with a person who is proposed for 
debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, 
declared ineligible, or voluntarily excluded from participation in 
this covered transaction, unless authorized by the department or 
agency with which this transaction originated.
    6. The prospective lower tier participant further agrees by 
submitting this proposal that it will include this clause titled 
``Certification Regarding Debarment, Suspension, Ineligibility and 
Voluntary Exclusion-Lower Tier Covered Transaction,'' without 
modification, in all lower tier covered transactions and in all 
solicitations for lower tier covered transactions.
    7. A participant in a covered transaction may rely upon a 
certification of a prospective participant in a lower tier covered 
transaction that it is not proposed for debarment under 48 CFR part 
9, subpart 9.4, debarred, suspended, ineligible, or voluntarily 
excluded from covered transactions, unless it knows that the 
certification is erroneous. A participant may decide the method and 
frequency by which it determines the eligibility of its principals. 
Each participant may, but is not required to, check the List of 
Parties Excluded from federal Procurement and Nonprocurement 
Programs.
    8. Nothing contained in the foregoing shall be construed to 
require establishment of a system of records in order to render in 
good faith the certification required by clause.
    The knowledge and information of a participant is not required 
to exceed that which is normally possessed by a prudent person in 
the ordinary course of business dealings.
    9. Except for transactions authorized under paragraph 5 of these 
instructions, if a participant in a covered transaction knowingly 
under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, 
or voluntarily excluded from participation in this transaction, in 
addition to other remedies available to the Federal Government, the 
department or agency with which this transaction originated may 
pressure available remedies, including suspension and/or debarment.

Certification Regarding Debarment, Suspension, Ineligibility an 
Voluntary Exclusion--Lower Tier Covered Transactions

    (1) The prospective lower tier participant certifies, by 
submission of this proposal, that neither it nor its principals is 
presently debarred, suspended, proposed for debarment, declared 
ineligible, or voluntarily excluded from participation in this 
transaction by any Federal department or agency.
    (2) Where the prospective lower tier participant is unable to 
certify to any of the statements in this certification, such 
prospective participant shall attach an explanation to this 
proposal.

Attachment G.--Intergovernmental Review (SPOC List)

    It is estimated that in 2001 the Federal Government will outlay 
$305.6 billion in grants to State and local governments. Executive 
Order 12372, ``Intergovernmental partnership and strengthen 
federalism by relying on State and local processes for the 
coordination and review of proposed Federal financial assistance and 
direct Federal development. The Order allows each State to designate 
an entity to perform this function. Below is the official list of 
those entities. For those States that have a home page for their 
designated entity, a direct link has been provided below.
    States that are not listed on this page have chosen not to 
participate in the intergovernmental review process, and therefore 
not have a SPOC. If you are located within one of these States, you 
may still send application materials directly to a federal awarding 
agency.
    Contact information for Federal agencies that award grants can 
be found in Appendix

[[Page 30711]]

IV of the Catalog of Federal Domestic Assistance.

Arkansas

Tracy L. Copeland, Manager, State Clearinghouse, Office of 
Intergovernmental Services, Department of Finance and 
Administration, 1515 W. 7th St., Room 412, Little Rock, Arkansas 
72203, Telephone: (501) 682-1074, Fax: (501) 682-5206, 
[email protected]

California

Grants Coordination, State Clearinghouse, Office of Planning and 
Research, P.O. Box 3044, Room 222, Sacramento, California 95812-
3044, Telephone: (916) 445-0613, Fax: (916) 323-3018, 
[email protected]

Delaware

Charles H. Hopkins, Executive Department, Office of the Budget, 540 
S. Dupont Highway, 3rd Floor, Dover, Delaware 19901, Telephone; 
(303) 739-3323, Fax: (302) 739-5661, [email protected]

District of Columbia

Luisa Montero-Diaz, Office of Partnerships and Grants, Development, 
Executive Office of the Mayor, District of Columbia Government, 441 
4th Street, NW, Suite 530 South, Washington, DC 20001, Telephone: 
(202) 727-8900, Fax: (202) 727-1652, [email protected]

Florida

Jasmin Raffington, Florida State Clearinghouse, Department of 
Community Affairs, 2555 Shumard Oak Blvd., Tallahassee, Florida 
32399-2100, Telephone: (850) 922-5438, Fax: (850) 414-0479, 
[email protected]

Georgia

Georgia State Clearinghouse, 270 Washington Street, SW, Atlanta, 
Georgia 30334, Telephone: (404) 656-3855, Fax: (404) 656-7901, 
[email protected]

Illinois

Virginia Bova, Department of Commerce and Community Affairs, James 
R. Thompson Center, 100 West Randolph, Suite 3-400, Chicago, 
Illinois 60601, Telephone: (312) 814-6028, Fax (312) 814-8485, 
[email protected]

Iowa

Steven R. McCann, Division of Community and Rural Development, Iowa 
Department of Economic Development, 200 East Grand Avenue, Des 
Moines, Iowa 50309, Telephone: (515) 242-4719, Fax: (515) 242-4809, 
[email protected]

Kentucky

Ron Cook, Department for Local Government, 1024 Capital Center 
Drive, Suite 340, Frankfort, Kentucky 40601, Telephone: (502) 573-
2382, Fax: (502) 573-2512, [email protected]

Maine

Joyce Benson, State Planning Office, 184 State Street, 38 State 
House Station, Augusta, Maine 04333, Telephone: (207) 287-3261, 
(207) 287-1461 (direct), Fax: (207) 287-6489, 
[email protected]

Maryland

Linda Janey, Manager, Clearinghouse and Plan Review Unit, Maryland 
Office of Planning, 301 West Preston Street--Room 1104, Baltimore, 
Maryland 21201-2305, Telephone: (410) 767-4490, Fax: (410) 767-4480, 
[email protected]

Michigan

Richard Pfaff, Southeast Michigan Council of Governments, 535 
Griswold, Suite 300, Detroit, Michigan 48226, Telephone (313) 916-
4266, Fax: (313) 961-4869, [email protected]

Mississippi

Cathy Mallette, Clearinghouse Officer, Department of Finance and
Administration, 1301 Woolfolk Building, Suite E, 501 North West 
Street, Jackson, Mississippi 39201, Telephone: (601) 359-6762, Fax: 
(601) 359-6758

Missouri

Angela Boessen, Federal Assistance Clearinghouse, Office of 
Administration, P.O. Box 809, Truman Building, Room 840, Jefferson 
City, Missouri 65102, Telephone: (573) 751-4834, Fax: (573) 522-
4395, [email protected]

Nevada

Heather Elliott, Department of Administration, State Clearinghouse, 
209 E. Musser Street, Room 200, Carson City, Nevada 89701, 
Telephone: (775) 684-0209, Fax: (775) 684-0260, 
[email protected]

New Hampshire

Jeffrey H. Taylor, Director, New Hampshire Office of State Planning, 
Attn: Intergovernmental Review Process, Mike Blake, 2-\1/2\ Beacon 
Street, Concord, New Hampshire 03301, Telephone: (603) 271-2155, 
Fax: (603) 271-1728, [email protected]

New Mexico

Ken Hughes, Local Government Division, Room 201 Bataan Memorial 
Building, Santa Fe, New Mexico 87503, Telephone: (505) 827-4370, 
Fax: (505) 827-4948, [email protected]

North Carolina

 Jeanette Furney, Department of Administration, 1302 Mail Service 
Center, Raleigh, North Carolina 27699-1302, Telephone: (919) 807-
2323, Fax: (919) 733-9571, [email protected]

North Dakota

Jim Boyd, Division of Community Services, 600 East Boulevard Ave, 
Dept 105, Bismarck, North Dakota 58505-0170, Telephone: (701) 328-
2094, Fax: (701) 328-2308, [email protected]

Rhode Island

Kevin Nelson, Department of Administration, Statewide Planning 
Program, One Capitol Hill, Providence, Rhode Island 02908-5870, 
Telephone: (401) 222-2093, Fax: (401) 222-2083, 
[email protected]

South Carolina

Omeagia Burgess, Budget and Control Board, Office of State Budget, 
1122 Ladies Street, 12th Floor, Columbia, South Carolina 29201, 
Telephone: (803) 734-0494, Fax: (803) 734-0645, 
[email protected]

Texas

Denise S. Francis, Director State Grants Team, Governor's Office of 
Budget and Planning, P.O. Box 12428, Austin, Texas 78711, Telephone: 
(512) 305-9415, Fax: (512) 936-2681, [email protected]

Utah

Carolyn Wright, Utah State Clearinghouse, Governor's Office of 
Planning and Budget, State Capitol, Room 114, Salt Lake City, Utah 
84114, Telephone: (801) 538-1535, Fax: (801) 538-1547, 
[email protected]

West Virginia

Fred Cutlip, Director, Community Development Division, West Virginia 
Development Office, Building #6, Room 553, Charleston, West Virginia 
25305, Telephone: (304) 558-4010, Fax; (304) 558-3248, 
[email protected]

Wisconsin

Jeff Smith, Section Chief, Federal/State Relations, Wisconsin 
Department of Administration, 101 East Wilson Street--6th Floor, 
P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-0267, 
Fax: (608) 267-6931, [email protected]

American Samoa

Pat M. Galea'i, Federal Grants/Programs Coordinator, Office of 
Federal Programs, Office of the Governor/Department of Commerce, 
American Samoa Government, Pago Pago, American Samoa 96799, 
Telephone: (684) 633-5155, Fax: (684) 633-4195, 
[email protected]

Guam

Director, Bureau of Budget and Management Research, Office of the 
Governor, P.O. Box 2950, Agana, Guam 96910, Telephone: 011-671-472-
2285, Fax: 011-472-2825, [email protected]

Puerto Rico

Jose Caballero/Mayra Silva, Puerto Rico Planning Board, Federal 
Proposals Review Office, Minillas Government Center, P.O. Box 41119, 
San Juan, Puerto Rico 00940-1119, Telephone: (787) 723-6190, Fax: 
(787) 722-6783

Attachment H.--Certification Regarding Lobbying

Certification for Contracts, Grants, Loans, and Cooperative 
Agreements

    The undersigned certifies, to the best of his or her knowledge 
and belief, that:
    (1) No Federal appropriated funds have been paid or will be 
paid, by or on behalf of the undersigned, to any person for 
influencing or attempting to influence an officer or employee of an 
agency, a Member of Congress, an officer or employee of Congress, or 
an employee of a Member of Congress in connection with the awarding 
of any Federal contract, the making of any Federal grant, the making 
of any Federal

[[Page 30712]]

loan, the entering into of any cooperative agreement, and the 
extension, continuation, renewal, amendment, or modification of any 
Federal contract, grant, loan, or cooperative agreement.
    (2) If any funds other than Federal appropriated funds have been 
paid or will be paid to any person for influencing or attempting to 
influence an officer or employee of any agency, a Member of 
Congress, an officer or employee of Congress, or an employee of a 
Member of Congress in connection with this Federal contract, grant, 
loan, or cooperative agreement, the undersigned shall complete and 
submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in 
accordance with its instructions.
    (3) The undersigned shall require that the language of this 
certification be included in the award documents for all subawards 
at all tiers (including subcontracts, subgrants, and contracts under 
grants, loans, and cooperative agreements) and that all 
subrecipients shall certify and disclose accordingly. This 
certification is a material representation of fact upon which 
reliance was placed when this transaction was made or entered into. 
Submission of this certification is a prerequisite for making or 
entering into this transaction imposed by section 1352, title 31, 
U.S. Code. Any person who fails to file the required certification 
shall be subject to a civil penalty of not less than $10,000 and not 
more than $100,000 for each such failure.

Statement for Loan Guarantees and Loan Insurance

    The undersigned states, to the best of his or her knowledge and 
belief, that:
    If any funds have been paid or will be paid to any person for 
influencing or attempting to influence an officer or employee of any 
agency, a Member of Congress, an officer or employee of Congress, or 
an employee of a Member of Congress in connection with this 
commitment providing for the United States to insure or guarantee a 
loan, the undersigned shall complete and submit Standard Form-LLL, 
``Disclosure Form to Report Lobbying,'' in accordance with its 
instructions. Submission of this statement is a prerequisite for 
making or entering into this transaction imposed by section 1352, 
title 31, U.S. Code. Any person who fails to file the required 
statement shall be subject to a civil penalty of not less than 
$10,000 and not more than $100,000 for each such failure.

----------------------------------------------------------------------
Signature
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Title
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Organization
BILLING CODE 4184-01-M

[[Page 30713]]

[GRAPHIC] [TIFF OMITTED] TN07MY02.024

Instructions for Completion of SF-LLL, Disclosure of Lobbying 
Activities

    This disclosure form shall be completed by the reporting entity, 
whether subawardee or prime Federal recipient, at the initiation or 
receipt of a covered Federal action, or a material change to a 
previous filing, pursuant to title 31 U.S.C. Section 1352. The 
filing of a form is required for each payment or agreement to make 
payment to any lobbying entity for influencing or attempting to 
influence an officer or employee of any agency, a Member of 
Congress, an officer or employee of Congress, or an employee of a 
Member of Congress in connection with a covered Federal action. Use 
the SF-LLL-A Continuation Sheet for additional information if the 
space on the form is inadequate. Complete all items that apply for 
both the initial filing and material change report. Refer to the 
implementing guidance published by the Office of Management and 
Budget for additional information.
    1. Identify the type of covered Federal action for which 
lobbying activity is and/or has been secured to influence the 
outcome of a covered Federal Action.
    2. Identify the status of the covered Federal action.
    3. Identify the appropriate classification of this report. If 
that is a follow-up report caused by a material change to the 
information previously reported, enter the year and quarter in which 
the change occurred. Enter the date of the last previously submitted 
report by this reporting entity for this covered Federal action.
    4. Enter the full name, address, city, state and zip code of the 
reporting entity. Include Congressional District, if known. Check 
the appropriate classification of the reporting entity that 
designates if it is, or expects to be, a prime or subaward 
recipient. Identify the tier of the subaward, e.g., the first 
subaward of the prime is the 1st tier. Subawards include but are not 
limited to subcontracts, subgrants, subgrants and contract awards 
under grants.
    5. If the organization filing the report in item 4 checks 
``subawardee'', then enter the full name, address, city, state and 
zip code of the prime Federal recipient. Include Congressional 
District, if known.

[[Page 30714]]

    6. Enter the name of the Federal agency making the award or loan 
commitment. Include at least one organization level below agency 
name, if known. For example, Department of Transportation, United 
States Coast Guard.
    7. Enter the Federal program name or description for the covered 
Federal action (item 1). If known, enter the full Catalog of Federal 
Domestic Assistance (CFDA) number for grants, cooperative 
agreements, loans, and loan commitments.
    8. Enter the most appropriate Federal identifying number 
available for the Federal action identified in item 1 [e.g., Request 
for Proposal (RFP) number; Invitation for Bid (IFB) number; grant 
announcement number; the contract, grant, or loan award number; the 
application/proposal control number assigned by the Federal agency]. 
Include prefixes, e.g., ``RFP-DE-90-001.''
    9. For a covered Federal action where there has been an award or 
loan commitment by the Federal agency, enter the Federal amount of 
the award/loan commitment for the prime entity identified in item 4 
and 5.
    10. (a) Enter the full name, address, city, state and zip cod of 
the lobbying entity engaged by the reporting entity identified in 
item 4 to influence the covered Federal action.
    (b) Enter the full names of the individual(s) performing 
services, and include full address if different from 10(a). Enter 
Last Name, First Name, and Middle Initial (MI).
    11. Enter the amount of compensation paid or reasonably expected 
to be paid by the reporting entity (item 4) to the lobbying entity 
(item 10). Indicate whether the payment has been made (actual) or 
will be made (planned). Check all boxes that apply. If this is a 
material change report, enter the cumulative amount of payment made 
or planned to be made.
    According to the Paperwork Reduction Act, as amended, no persons 
are required to respond to a collection of information unless it 
displays a valid OMB Control Number. The valid OMB control number 
for this information collection is OMB No. 0348-0046. Public 
reporting burden for this collection of information is estimated to 
average 10 minutes per response, including time for reviewing 
instructions, searching existing data sources, gathering and 
maintaining the data needed, and completing and reviewing the 
collection of information. Send comments regarding the burden 
estimate or any other aspect of this collection of information, 
including suggestions for reducing this burden, to the Office of 
Management and Budget, Paperwork Reduction Project (0348-0046), 
Washington, DC 20503.
----------------------------------------------------------------------
Reporting Entity
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Page
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of
BILLING CODE 4184-01-P

[[Page 30715]]

[GRAPHIC] [TIFF OMITTED] TN07MY02.025

BILLING CODE 4184-01-C

[[Page 30716]]

Attachment J.--Certification Regarding Environmental Tobacco Smoke

    Public Law 103227, Part C Environmental Tobacco Smoke, also 
known as the Pro Children Act of 1994, requires that smoking not be 
permitted in any portion of any indoor routinely owned or leased or 
contracted for by an entity and used routinely or regularly for 
provision of health, day care, education, or library services to 
children under the age of 18, if the services are funded by Federal 
programs either directly or through State or local governments, by 
Federal grant, contract, loan, or loan guarantee. The law does not 
apply to children's services provided in private residences, 
facilities funded solely by Medicare or Medicaid funds, and portions 
of facilities used for inpatient drug or alcohol treatment. Failure 
to comply with the provisions of the law may result in the 
imposition of a civil monetary penalty of up to $1000 per day and/or 
the imposition of an administrative compliance order on the 
responsible entity. By signing and submitting this application the 
applicant/grantee certifies that it will comply with the 
requirements of the Act.
    The applicant/grantee further agrees that it will require the 
language of this certification be included in any subawards which 
contain provisions for the children's services and that all 
subgrantees shall certify accordingly.

Attachment K.--

Title 45 of the Code of Federal Regulations

Part 16--Department of Grant Appeals Process
Part 74--Administration of Grants (grants and subgrants to entities)
Part 75--Informal Grant Appeal Procedures
Part 76--Debarment and Suspension from Eligibility for Financial 
Assistance

Subpart F--Drug Free Workplace Requirements

Part 80--Non-Discrimination--Under Programs Receiving Federal 
Assistance through the Department of Health and Human Services 
Effectuation of Title VI of the Civil Rights Act Of 1964
Part 81--Practice and Procedures for Hearings Under Part 80 of this 
Title
Part 83--Regulation for the Administration and Enforcement of 
Section 799A and 845 of the Public Health Service Act
Part 84--Non-discrimination on the Basis of Handicap in Programs and 
Activities Receiving Federal Financial Assistance
Part 85--Enforcement of Non-Discrimination on the Basis of Handicap 
in Programs or Activities Conducted by the Department of Health and 
Human Services
Part 86--Nondiscrimination on the Basis of Sex in Education Programs 
and Activities Receiving or Benefiting from Federal Financial 
Assistance
Part 91--Non-discrimination on the Basis of Age in Health and Human 
Services Programs or Activities Receiving Federal Financial 
Assistance
Part 92--Uniform Administrative Requirements for Grants and 
Cooperative Agreements to States and Local Governments (Federal 
Register, March 11, 1988)
Part 93--New Restrictions on Lobbying
Part 100--Intergovernmental Review of Department of Health and Human 
Services Programs and Activities

[FR Doc. 02-11217 Filed 5-6-02; 8:45 am]
BILLING CODE 4184-01-P